| Malcolm D Gottlich, MD | |
|
1075 Mason Ave, Daytona Beach, FL 32117 | |
| (386) 255-4596 | |
| (386) 258-3561 |
| Full Name | Malcolm D Gottlich |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 37 Years |
| Location | 1075 Mason Ave, 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 |
|---|---|---|---|
| 1639158538 | NPI | - | NPPES |
| 007653200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME57439 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Charleston | North charleston, SC | Home health agency |
| Trident Medical Center | Charleston, SC | Hospital |
| Colleton Medical Center | Walterboro, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Surgical Specialists Llc | 1658540505 | 31 |
| Entity Name | Tri-county Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659661544 PECOS PAC ID: 1658540505 Enrollment ID: O20110810000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Malcolm D Gottlich, MD 1075 Mason Ave, Daytona Beach, FL 32117 Ph: (386) 255-4596 | Malcolm D Gottlich, MD 1075 Mason Ave, Daytona Beach, FL 32117 Ph: (386) 255-4596 |
Todd A. Mccall, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 | |
Dr. Joseph R Locker Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 | |
Dr. Scott Ian Silas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 545 Health Blvd, Daytona Beach, FL 32114 Phone: 386-274-5252 Fax: 386-274-5544 | |
Mark C. Gillespy, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 | |
Brian R. Hatten, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 | |
Dr. Mark Richard Zunkiewicz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 206, Daytona Beach, FL 32117 Phone: 386-231-4450 Fax: 386-231-4459 | |
Dr. Dominic Marino, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 |