| Dr Michael James Suah, MD | |
|
400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | |
| (638) 667-7904 | |
| (386) 677-3083 |
| Full Name | Dr Michael James Suah |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 32 Years |
| Location | 400 Lakebridge Plaza Dr, Ormond 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 |
|---|---|---|---|
| 1114912466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME76773 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parks Dermatology Center Llc | 7315985686 | 17 |
| Entity Name | Parks Dermatology Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629063680 PECOS PAC ID: 7315985686 Enrollment ID: O20050419000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael James Suah, MD 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 Ph: (638) 667-7904 | Dr Michael James Suah, MD 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 Ph: (638) 667-7904 |
Meg Pierce, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174 Phone: 386-677-9044 Fax: 386-677-3083 | |
Dr. Gina M Sevigny, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 305 Clyde Morris Blvd, Suite 150, Ormond Beach, FL 32174 Phone: 386-615-1771 Fax: 386-615-1545 | |
Dr. Courtney Nicole Bernett, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174 Phone: 386-677-9044 | |
Dr. Jeffrey Dean Parks, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174 Phone: 386-677-9044 Fax: 386-677-3083 | |
Dr. John Christopher Coppola, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174 Phone: 386-677-9044 Fax: 386-677-3083 | |
Dr. John Charles Long Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 155 N Nova Rd, Ormond Beach, FL 32174 Phone: 386-672-3111 Fax: 386-672-6532 |