| Dr Johnna Mantineo, DO | |
|
5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8311 | |
| (386) 231-6300 | |
| (386) 322-6165 |
| Full Name | Dr Johnna Mantineo |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 5535 S Williamson Blvd, Port Orange, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952371312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0005684 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventhealth Primary Care Network Inc | 1557722410 | 366 |
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnna Mantineo, DO Po Box 730729, Ormond Beach, FL 32173-0729 Ph: (386) 231-6300 | Dr Johnna Mantineo, DO 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8311 Ph: (386) 231-6300 |
Dr. Sandra Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1185 Dunlawton Ave, Suite 104, Port Orange, FL 32127 Phone: 386-767-5477 Fax: 386-767-5580 | |
Dr. Michael Morgan Dietch Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3875 S Nova Rd, Port Orange, FL 32127 Phone: 386-322-9244 Fax: 386-788-9776 | |
Dr. Christian A Kovats, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3821 Woodbriar Trl Ste 6, Port Orange, FL 32129 Phone: 845-996-8177 Fax: 718-362-1651 | |
Dr. George Thomas Bernardo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 790 Dunlawton Ave, Suite E, Port Orange, FL 32127 Phone: 386-760-1877 Fax: 386-760-2791 | |
Dr. Raul L Zimmerman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129 Phone: 386-425-8720 Fax: 386-322-4720 | |
Naomi Salz Flock, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127 Phone: 386-425-4787 | |
Dr. Carol M Gaines, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5535 S. Williamson Blvd, Suite 700, Port Orange, FL 32128 Phone: 386-231-6300 Fax: 386-322-6165 |