| Dr Gerald R Woodard, DO | |
|
3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 | |
| (386) 767-9544 | |
| (386) 756-0501 |
| Full Name | Dr Gerald R Woodard |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 3512 S Atlantic Ave, Daytona Beach Shores, 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 |
|---|---|---|---|
| 1700877388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS4717 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Halifax Health Care At Home | Port orange, FL | Home health agency |
| Golden Heart Home Health Care | Orange park, FL | Home health agency |
| Halifax Health Hospice | Port orange, FL | Hospice |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Avante At Ormond Beach, Inc | Ormond beach, FL | Nursing home |
| Gardens Health & Rehabilitation Center, The | Daytona beach, FL | Nursing home |
| Carlton Shores Health And Rehabilitation Center | Daytona beach, FL | Nursing home |
| Port Orange Nursing And Rehab Center | Port orange, FL | Nursing home |
| Bishops Glen Retirement Center | Holly hill, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Gerald R Woodard Do Pa | 9436115052 | 2 |
| Entity Name | Gerald R Woodard Do Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114111440 PECOS PAC ID: 9436115052 Enrollment ID: O20041206000869 |
| Entity Name | Kopa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417021114 PECOS PAC ID: 5193774461 Enrollment ID: O20050113001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald R Woodard, DO 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 Ph: (386) 767-9544 | Dr Gerald R Woodard, DO 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 Ph: (386) 767-9544 |
Bettina Fulford, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3512 S Atlantic Ave, Shores Medical Center, Daytona Beach Shores, FL 32118 Phone: 386-767-9544 | |
Dr. Lauren A Girard, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118 Phone: 386-767-9544 Fax: 386-767-9914 | |
Marcella Scaccia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2937 S Atlantic Ave Apt 602, Daytona Beach Shores, FL 32118 Phone: 386-871-4515 |