| Patrick Terry Mangonon, MD | |
|
305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5168 | |
| (386) 231-3600 | |
| (386) 231-3602 |
| Full Name | Patrick Terry Mangonon |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 33 Years |
| Location | 305 Memorial Medical Pkwy, 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 |
|---|---|---|---|
| 1023067584 | NPI | - | NPPES |
| 256707500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME77600 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Memorial Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
| 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 |
|---|---|
| Patrick Terry Mangonon, MD 305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5168 Ph: (386) 231-3600 | Patrick Terry Mangonon, MD 305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5168 Ph: (386) 231-3600 |
Andrew Edward Everett, MD (ANTICIPATED) Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3605 | |
Dr. Sohit K Khanna, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 100, Daytona Beach, FL 32114 Phone: 386-226-2662 | |
Dr. Cary H Meyers, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602 |