Bassem Koleilat, MD | |
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | |
(386) 425-4542 | |
(386) 425-7705 |
Full Name | Bassem Koleilat |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 23 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578680831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME102911 (Florida) | Secondary |
208M00000X | Hospitalist | ME102911 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Floyd | New albany, IN | Hospital |
St Bernards Medical Center | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Bernards Hospital Inc. | 0941105480 | 146 |
Hospitalist Physicians Of Indiana Pc | 1052795986 | 163 |
New Albany Hospitalist Group, Llc | 4880041409 | 65 |
Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
Entity Name | St Bernards Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396053096 PECOS PAC ID: 0941105480 Enrollment ID: O20101123000105 |
Entity Name | Ies Hsp Arkansas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943 |
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 |
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 | |
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 | |
Dr. Eugene Vitaly Bednov, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1994 |