| Dr Alfonza Mccollum Jr, MD | |
|
461 South Nova Road, Ormond Beach, FL 33174-6138 | |
| (386) 671-4337 | |
| (386) 671-7242 |
| Full Name | Dr Alfonza Mccollum Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 461 South Nova Road, Ormond 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 |
|---|---|---|---|
| 1407844558 | NPI | - | NPPES |
| 1407844558 | Other | FL | TRICARE |
| 267116600 | Medicaid | FL | |
| P00444511 | Other | FL | RAILROAD MEDICARE NUMBER |
| 57851 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME83401 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Florida Health Care Plan Inc | 9436201233 | 82 |
| Entity Name | Florida Health Care Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alfonza Mccollum Jr, MD P.o. Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130 | Dr Alfonza Mccollum Jr, MD 461 South Nova Road, Ormond Beach, FL 33174-6138 Ph: (386) 671-4337 |
Dr. Richard Branoff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 545 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-6243 Fax: 386-677-7463 | |
Dr. Samuel Damain Pepeto Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 Phone: 386-317-8620 Fax: 386-317-8625 | |
Teresa Hernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1184 Ocean Shore Blvd, Ormond Beach, FL 32176 Phone: 386-481-6102 | |
Dr. Craig Allan Miller, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Hand Ave, Suite K, Ormond Beach, FL 32174 Phone: 386-673-0517 Fax: 386-671-2771 | |
Dr. Sandford H. Kinne Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174 Phone: 386-677-5600 Fax: 386-677-5686 | |
Dr. Therese A Ibrahim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174 Phone: 386-615-8122 Fax: 844-899-3686 | |
Dr. Donald Benett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 731327, Ormond Beach, FL 32173 Phone: 386-677-6644 |