| Dr John B Kayoma, MD | |
|
173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713-2211 | |
| (386) 516-9770 | |
| (386) 516-9770 |
| Full Name | Dr John B Kayoma |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 173 N Charles Richard Beall Blvd Ste 106, Debary, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326063900 | NPI | - | NPPES |
| 587968167B | Other | MS | BLUE CROSS OF MS |
| 00125084 | Medicaid | MS | |
| 01722576 | Medicaid | MS | |
| LG272 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17503 (Mississippi) | Primary |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| Entity Name | Jefferson County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043204555 PECOS PAC ID: 5496657876 Enrollment ID: O20040227000452 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040903000729 |
| Entity Name | Claiborne County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710238324 PECOS PAC ID: 0244394385 Enrollment ID: O20100809000770 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20120111000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John B Kayoma, MD 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713-2211 Ph: (386) 516-9770 | Dr John B Kayoma, MD 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713-2211 Ph: (386) 516-9770 |
Potenciano D Gonzales, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 Fax: 386-668-8560 | |
Dr. Frank Mari, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2836 Enterprise Rd, #1, Debary, FL 32713 Phone: 386-753-1948 | |
Dr. Alvan William Barber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 70 Fox Ridge Ct Ste B, Debary, FL 32713 Phone: 407-625-9486 | |
Dr. Alireza Ebneshahidi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 301-302, Debary, FL 32713 Phone: 386-259-4258 | |
Magued Ibrahim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2836 Enterprise Rd, Suite #4, Debary, FL 32713 Phone: 386-951-4538 Fax: 386-259-3689 | |
Dr. Judith Del Carmen Mathura, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 203, Debary, FL 32713 Phone: 386-259-4106 Fax: 866-554-1654 |