| Dr Gary S Fishman, MD | |
|
305 Memorial Medical Pkwy Ste 208, Daytona Beach, FL 32117-5169 | |
| (386) 231-3593 | |
| (386) 231-3595 |
| Full Name | Dr Gary S Fishman |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 46 Years |
| Location | 305 Memorial Medical Pkwy Ste 208, 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 |
|---|---|---|---|
| 1831138304 | NPI | - | NPPES |
| 01184647 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 143907 (New York) | Secondary |
| 207Y00000X | Otolaryngology | ME158843 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| 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 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 | Southeast Volusia Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710346093 PECOS PAC ID: 3870887953 Enrollment ID: O20160818000209 |
| 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 Gary S Fishman, MD Po Box 947381, Atlanta, GA 30394-7381 Ph: (386) 671-4519 | Dr Gary S Fishman, MD 305 Memorial Medical Pkwy Ste 208, Daytona Beach, FL 32117-5169 Ph: (386) 231-3593 |
Nancy N Butler, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 208, Daytona Beach, FL 32117 Phone: 386-231-3593 Fax: 386-231-3595 |