| Michele Nicole Edison, MD | |
|
2600 Westhall Ln Fl 4, Maitland, FL 32751-7102 | |
| (407) 200-2355 | |
| (407) 200-4947 |
| Full Name | Michele Nicole Edison |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 2600 Westhall Ln Fl 4, Maitland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427390723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME135886 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, 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 Medical Group Inc | 0042383200 | 279 |
| Florida Radiology Imaging At Lake Mary Llc | 1254311137 | 217 |
| Entity Name | Florida Radiology Imaging At Lake Mary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20040721001414 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20080721000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Nicole Edison, MD 2600 Westhall Ln Fl 4, Maitland, FL 32751-7102 Ph: (407) 200-2355 | Michele Nicole Edison, MD 2600 Westhall Ln Fl 4, Maitland, FL 32751-7102 Ph: (407) 200-2355 |
Crystal Tao Perkins, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 | |
Dr. Shanchita Ghosh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln Fl 4, Maitland, FL 32751 Phone: 407-303-8178 | |
Dr. Connor William Woodward, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 | |
Dr. Bhaskar N/a Golla, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 | |
Wells Yang, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 | |
Elena Griffin, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 |