| Dr Jesse Seth Greenblum, MD | |
|
276 Centennial Park Dr, Daytona Beach, FL 32124-5102 | |
| (904) 891-7777 | |
| Not Available |
| Full Name | Dr Jesse Seth Greenblum |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 46 Years |
| Location | 276 Centennial Park Dr, 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 |
|---|---|---|---|
| 1265547103 | NPI | - | NPPES |
| 045088000 | Medicaid | FL | |
| 00395117A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME45241 (Florida) | Primary |
| 207V00000X | Obstetrics & Gynecology | G140070 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Halifax Healthcare Systems Inc | 1254238090 | 341 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesse Seth Greenblum, MD 276 Centennial Park Dr, Daytona Beach, FL 32124-5102 Ph: (904) 891-7777 | Dr Jesse Seth Greenblum, MD 276 Centennial Park Dr, Daytona Beach, FL 32124-5102 Ph: (904) 891-7777 |
Dr. John A White, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 533 N. Clyde Morris Blvd, Ste A, Daytona Beach, FL 32114 Phone: 386-255-0901 Fax: 386-255-4454 | |
Dr. Randall Brooks Whitney, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 580 Mulberry St, Daytona Beach, FL 32114 Phone: 386-238-0633 Fax: 386-254-8227 | |
Stephen James Cortez, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1890 Lpga Blvd, Ste. 160, Daytona Beach, FL 32117 Phone: 386-252-4701 Fax: 386-253-9410 | |
Dr. Meetesh Desai, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Health Blvd, Daytona Beach, FL 32114 Phone: 386-252-5858 | |
Dr. Gary Goodenow, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4121 Fax: 386-258-4802 | |
Christine Da Silva, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 769 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-258-0123 Fax: 386-258-6464 |