| Andrew C Halpern, MD | |
|
200 Booth Rd, Suite A, Ormond Beach, FL 32174-5715 | |
| (386) 523-1212 | |
| (386) 523-1213 |
| Full Name | Andrew C Halpern |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 200 Booth Rd, Ormond Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487640397 | NPI | - | NPPES |
| 64097124 | Medicaid | KY | |
| 000000359520 | Other | IN | ANTHEM BC/BS |
| 15D1038972 | Other | IN | CLIA |
| 200063730A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME124133 (Florida) | Primary |
| 208000000X | Pediatrics | 223250-1 (New York) | Secondary |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew C Halpern, MD Po Box 732901, Dallas, TX 75373-2901 Ph: (386) 226-4590 | Andrew C Halpern, MD 200 Booth Rd, Suite A, Ormond Beach, FL 32174-5715 Ph: (386) 523-1212 |
Dr. Enas G. Iskander, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1688 W Granada Blvd Ste 2a1, Ormond Beach, FL 32174 Phone: 386-425-4466 Fax: 386-425-4461 | |
Dr. Rolando Lozano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-673-2770 Fax: 386-673-2760 | |
Dr. James Grady White, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1688 W Granada Blvd, Suite 2b, Ormond Beach, FL 32174 Phone: 386-677-3530 Fax: 386-673-1933 | |
Ashwini Jasutkar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 W Granada Blvd, Ormond Beach, FL 32174 Phone: 302-651-4000 Fax: 302-651-4000 | |
Dr. Charity Muthoni Finucane Bowcher, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1688 W Granada Blvd, #2b, Ormond Beach, FL 32174 Phone: 386-677-3530 Fax: 386-673-1933 | |
Jolanta Barbara Tombarkiewicz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 N Old Kings Rd Ste E, Ormond Beach, FL 32174 Phone: 386-672-4615 | |
Kami Hopkins, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 229 Standish Dr, Ormond Beach, FL 32176 Phone: 217-722-1930 |