| Dibbendu Mahanayak, MD | |
|
1350 Hickory St, Melbourne, FL 32901-3224 | |
| (321) 434-1771 | |
| (321) 434-1775 |
| Full Name | Dibbendu Mahanayak |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 1350 Hickory St, Melbourne, 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 |
|---|---|---|---|
| 1194950071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25029 (West Virginia) | Secondary |
| 208M00000X | Hospitalist | 25029 (West Virginia) | Primary |
| 208M00000X | Hospitalist | ME128441 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Health | Lawton, OK | Hospital |
| United Hospital Center, Inc | Bridgeport, WV | Hospital |
| Cornerstone Specialty Hospitals Huntington, Llc | Huntington, WV | Long-term care hospital |
| Huntington Health And Rehabilitation Center | Huntington, WV | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Hospitalist Services Llc | 2062552763 | 45 |
| Comanche County Healthcare Corporation | 0749192433 | 125 |
| Entity Name | St Marys Hospitalist Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942432687 PECOS PAC ID: 2062552763 Enrollment ID: O20091210000233 |
| Entity Name | Hospitalist Medicine Physicians of West Virginia, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649575101 PECOS PAC ID: 2860674488 Enrollment ID: O20110303000157 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Entity Name | Hospitalist Medicine Physicians of West Virginia- Tcg PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386122844 PECOS PAC ID: 1557748092 Enrollment ID: O20220523000150 |
| Entity Name | M Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20240320004143 |
| Mailing Address | Practice Location Address |
|---|---|
| Dibbendu Mahanayak, MD 259 Sundown Ridge, South Charleston, WV 25309-1731 Ph: (814) 534-9106 | Dibbendu Mahanayak, MD 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-1771 |
Ellora Jalali, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |
Sherene T Falconer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 |
Linh T Van, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |
Dr. Rossana Guerrero Garcia, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |
Enkeleida Veizaj, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |
Jadthiel Oliva, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 8745 N Wickham Rd, Melbourne, FL 32940 Phone: 321-434-1771 Fax: 321-434-1775 |
Dr. Mahmoud Mostafavi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |