| Mr Jay C Chanmugam, DO | |
|
1133 Saxon Blvd, Orange City, FL 32763-8425 | |
| (386) 228-9700 | |
| Not Available |
| Full Name | Mr Jay C Chanmugam |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 29 Years |
| Location | 1133 Saxon Blvd, Orange City, 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 |
|---|---|---|---|
| 1518905207 | NPI | - | NPPES |
| 71397 | Other | FL | BLUE CROSS |
| 106634 | Other | FL | AMERIGROUP |
| 267573100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS8600 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | OS8600 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| 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 | Prompt Care Of Central Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518280809 PECOS PAC ID: 3274727235 Enrollment ID: O20101103000842 |
| Entity Name | Genesis Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023369204 PECOS PAC ID: 8921253816 Enrollment ID: O20130226000215 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jay C Chanmugam, DO 1133 Saxon Blvd, Orange City, FL 32763-8425 Ph: (386) 878-4137 | Mr Jay C Chanmugam, DO 1133 Saxon Blvd, Orange City, FL 32763-8425 Ph: (386) 228-9700 |
Charles Daniel Duva, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Gerard Joseph Newcomer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Amy Sue Kelley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Nancy Sue Tucker, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Dr. Stephen Senne Knight, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Elizabeth Jean Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-274-7800 Fax: 386-274-7801 | |
Judy Jennifer Roberts, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 |