| Lars Spencer Nelson, MD | |
|
1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7130 | |
| (386) 274-0250 | |
| (386) 274-0268 |
| Full Name | Lars Spencer Nelson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 1890 Lpga 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 |
|---|---|---|---|
| 1780813592 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1658 |
| Jorge L Florin Md Pa | 0941103345 | 12 |
| North Florida Surgeons, Pa | 2769381391 | 316 |
| 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 |
| Entity Name | North Florida Surgeons, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Entity Name | Jorge L Florin Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124106497 PECOS PAC ID: 0941103345 Enrollment ID: O20040202000339 |
| Entity Name | Florida Health Care Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
| 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 |
|---|---|
| Lars Spencer Nelson, MD 11945 San Jose Blvd, Suite 300, Jacksonville, FL 32223-1613 Ph: (904) 396-1725 | Lars Spencer Nelson, MD 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7130 Ph: (386) 274-0250 |
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 |