| Dr Husam Eddin, MD | |
|
1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 | |
| (386) 238-9064 | |
| (386) 238-9063 |
| Full Name | Dr Husam Eddin |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 32 Years |
| Location | 1630 Mason Ave Ste C, 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 |
|---|---|---|---|
| 1629082607 | NPI | - | NPPES |
| 273953400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94169 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Halifax Health Hospice | Port orange, FL | Hospice |
| Adventhealth Deland | Deland, FL | Hospital |
| Indigo Manor | Daytona beach, FL | Nursing home |
| University West Rehabilitation Center | Deland, FL | Nursing home |
| University East Rehabilitation Center | Deland, FL | Nursing home |
| Orchid Cove At Daytona | Daytona beach, FL | Nursing home |
| Daytona Beach Health And Rehabilitation Center | Daytona beach, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excellence Health Llc | 0840534160 | 38 |
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Excellence Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447741749 PECOS PAC ID: 0840534160 Enrollment ID: O20181127002760 |
| Entity Name | Excellence Medical Labs Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952007874 PECOS PAC ID: 4789125592 Enrollment ID: O20240920000332 |
| Entity Name | Excellence Health Specialist, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306559265 PECOS PAC ID: 9234660994 Enrollment ID: O20241004002006 |
| Entity Name | Excellence Health Wound Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215633441 PECOS PAC ID: 2264965565 Enrollment ID: O20241024003624 |
| Entity Name | Excellence Health Care At Home, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336906080 PECOS PAC ID: 4183153455 Enrollment ID: O20250131000425 |
| Entity Name | Excellence Health Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902502875 PECOS PAC ID: 7113457250 Enrollment ID: O20250205001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Husam Eddin, MD 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 Ph: (386) 238-9064 | Dr Husam Eddin, MD 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 Ph: (386) 238-9064 |
Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165 | |
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944 | |
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891 | |
Mr. Luther St. James Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1890 Lpga Blvd, 170, Daytona Beach, FL 32117 Phone: 386-274-3354 Fax: 386-274-5564 | |
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571 | |
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507 | |
Evans Marrero, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-425-4165 |