Dr Glenn Steven Avidon, MD | |
Po Box 47, Deland, FL 32721-0047 | |
(407) 468-4301 | |
(407) 264-8168 |
Full Name | Dr Glenn Steven Avidon |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 43 Years |
Location | Po Box 47, Deland, 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 |
---|---|---|---|
1124138292 | NPI | - | NPPES |
068418000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD423521 (Pennsylvania) | Secondary |
207L00000X | Anesthesiology | ME 40282 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tift Regional Medical Center | Tifton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tift Regional Health System Inc | 2062745169 | 298 |
Entity Name | Amsol Physicians Of Columbus Ga Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114010584 PECOS PAC ID: 2567427495 Enrollment ID: O20041119000765 |
Entity Name | Amsol Physicians Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134350531 PECOS PAC ID: 1557496783 Enrollment ID: O20100312000866 |
Entity Name | Tift Regional Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn Steven Avidon, MD Po Box 47, Deland, FL 32721-0047 Ph: (407) 468-4301 | Dr Glenn Steven Avidon, MD Po Box 47, Deland, FL 32721-0047 Ph: (407) 468-4301 |
Mark F Marino, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Evan Bloom, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Youssef W. Guergues, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 740 1/2 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-1123 Fax: 386-274-4835 | |
Dr. Graham Borysko, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-4522 | |
Phuong-truc Le, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Edmundo D Delgado, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 |