Bassem Koleilat, MD in Daytona Beach, FL - Medicare Internal Medicine

Bassem Koleilat, MD is a medicare enrolled "Hospitalist" physician in Daytona Beach, Florida. He graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mercy Clinic Joplin Llc, Sebastian Physician Services, Pllc, Southeastern Physician Services Pc, Deaconess Hospital, Inc., University Of Louisville Physicians Inc, Deaconess Hospital, Inc. and his current practice location is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 425-4542.

Bassem Koleilat is licensed to practice in Florida (license number ME102911) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578680831.

Contact Information

	Bassem Koleilat, MD
	303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709
	(386) 425-4542
	(386) 425-7705

Map and Direction

Physician's Profile

Full Name	Bassem Koleilat
Gender	Male
Speciality	Internal Medicine
Experience	25 Years
Location	303 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bassem Koleilat graduated from medical school in 2001

NPI Data:

NPI Number: 1578680831
Provider Enumeration Date: 03/23/2007
Last Update Date: 06/10/2026

Medicare PECOS Information:

PECOS PAC ID: 1456410349
Enrollment ID: I20240131003155

Medical Identifiers

Medical identifiers for Bassem Koleilat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578680831	NPI	-	NPPES
7100933410	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	58383 (Kentucky)	Secondary
208M00000X	Hospitalist	ME102911 (Florida)	Primary
207R00000X	Internal Medicine	ME102911 (Florida)	Secondary
208M00000X	Hospitalist	58383 (Kentucky)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Paducah	Paducah, KY	Hospital
Baptist Health - Fort Smith	Fort smith, AR	Hospital
Methodist Hospital	Henderson, KY	Hospital
University Of Louisville Hospital	Louisville, KY	Hospital
Jewish Hospital & St Mary's Healthcare	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Joplin Llc	0547300196	291
Sebastian Physician Services, Pllc	5294178448	49
Southeastern Physician Services Pc	0042307852	608
Deaconess Hospital, Inc.	9032021431	420
University Of Louisville Physicians Inc	3476725599	1446
Deaconess Hospital, Inc.	9032021431	420

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bassem Koleilat allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Joplin Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bassem Koleilat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bassem Koleilat, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 226-4590	Bassem Koleilat, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 425-4542

Reviews and Comments

Hospitalist Doctors in Daytona Beach, FL

Mirela Cosma, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-226-4542 Fax: 386-239-2354
Dr. Mehran Yaghmaie, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000
Abednego Chibungu, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705
Dr. Shahabuddin Ahmed, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-226-4542 Fax: 386-239-2354
Camille Mazal, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N. Clyde Morris Blvd., Daytona Beach, FL 32114 Phone: 386-226-4542 Fax: 386-239-2354
Michael J. Sayess, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-226-4542 Fax: 386-239-2354
Daniel Peterson, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-2872

Bassem Koleilat, MD - Medicare Internal Medicine in Daytona Beach, FL