| Dr Wissam Mohamed Elfallal, DO | |
|
305 Memorial Medical Pkwy Ste 505, Daytona Beach, FL 32117-5170 | |
| (386) 231-3540 | |
| (386) 231-3544 |
| Full Name | Dr Wissam Mohamed Elfallal |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 11 Years |
| Location | 305 Memorial Medical Pkwy Ste 505, 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 |
|---|---|---|---|
| 1730594805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | OS17401 (Florida) | Primary |
| 207T00000X | Neurological Surgery | 5101021284 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Golden Heart Home Health Care | Orange park, FL | Home health agency |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Memorial Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wissam Mohamed Elfallal, DO Po Box 863381, Orlando, FL 32886-3381 Ph: (386) 231-3249 | Dr Wissam Mohamed Elfallal, DO 305 Memorial Medical Pkwy Ste 505, Daytona Beach, FL 32117-5170 Ph: (386) 231-3540 |
Patrick Han, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 550-560, Daytona Beach, FL 32114 Phone: 386-255-2340 Fax: 386-258-3284 | |
Mr. Federico Carlos Vinas, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd, Ste 560, Daytona Beach, FL 32114 Phone: 386-425-7644 Fax: 386-238-2224 | |
Gregory J. Velat, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Suite 206, Daytona Beach, FL 32117 Phone: 386-231-3540 Fax: 386-231-3544 | |
Dr. Rohit Kumar Khanna, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 550-560, Daytona Beach, FL 32114 Phone: 386-255-2340 Fax: 386-258-3284 |