| Jens Baggesen Flock Iv, | |
|
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | |
| (386) 425-4000 | |
| Not Available |
| Full Name | Jens Baggesen Flock Iv |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 12 Years |
| Location | 303 N Clyde Morris Blvd, 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 |
|---|---|---|---|
| 1457779803 | NPI | - | NPPES |
| 201153 | Medicaid | NC |
| 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 | 303 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| 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 |
|---|---|
| Jens Baggesen Flock Iv, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 425-4000 | Jens Baggesen Flock Iv, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 425-4000 |
Dr. Christian L Birkedal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117 Phone: 386-231-3530 Fax: 386-231-3534 | |
Dr. Tomasz Kozlowski, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114 Phone: 386-425-4650 Fax: 386-425-7510 | |
Michael A Fabian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 | |
Emily Oswald, APRN Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 500, Daytona Beach, FL 32114 Phone: 386-425-2639 | |
Dr. Andrew William Gamenthaler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 | |
Dr. Gary A Wilson, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 311 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-947-4650 Fax: 386-947-4690 | |
Brian K Yorkgitis, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 510, Daytona Beach, FL 32114 Phone: 386-241-1020 Fax: 386-241-1022 |