| Dr Christian L Birkedal, MD | |
|
305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117-5168 | |
| (386) 231-3530 | |
| (386) 231-3534 |
| Full Name | Dr Christian L Birkedal |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 305 Memorial Medical Pkwy, 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 |
|---|---|---|---|
| 1043205404 | NPI | - | NPPES |
| 263857600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME84422 (Florida) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | ME84422 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Memorial Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christian L Birkedal, MD 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117-5168 Ph: (386) 231-3530 | Dr Christian L Birkedal, MD 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117-5168 Ph: (386) 231-3530 |
Dr. Tomasz Kozlowski, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114 Phone: 386-425-4650 Fax: 386-425-7510 | |
Michael A Fabian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 | |
Emily Oswald, APRN Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 500, Daytona Beach, FL 32114 Phone: 386-425-2639 | |
Dr. Andrew William Gamenthaler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 | |
Dr. Gary A Wilson, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 311 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-947-4650 Fax: 386-947-4690 | |
Brian K Yorkgitis, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 510, Daytona Beach, FL 32114 Phone: 386-241-1020 Fax: 386-241-1022 |