| Roberto Mixco, MD | |
|
1395 N Courtenay Pkwy, Suite #106, Merritt Island, FL 32953-4400 | |
| (321) 452-1224 | |
| (321) 453-7784 |
| Full Name | Roberto Mixco |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 46 Years |
| Location | 1395 N Courtenay Pkwy, Merritt Island, 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 |
|---|---|---|---|
| 1396805255 | NPI | - | NPPES |
| 591263223 | Other | FL | CIGNA |
| 051758500 | Medicaid | FL | |
| 07492 | Other | FL | BCBS |
| 0623966 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME 50063 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parrish Medical Center | Titusville, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neuroscience Consultants Llp | 8729040670 | 107 |
| Entity Name | Neuroscience Consultants Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346217452 PECOS PAC ID: 8729040670 Enrollment ID: O20041102000824 |
| Entity Name | Neurologic Associates Of Central Brevard Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295937373 PECOS PAC ID: 7416124334 Enrollment ID: O20120118000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto Mixco, MD 1395 N Courtenay Pkwy, Ste 106, Merritt Island, FL 32953-4474 Ph: (321) 452-1224 | Roberto Mixco, MD 1395 N Courtenay Pkwy, Suite #106, Merritt Island, FL 32953-4400 Ph: (321) 452-1224 |
Dr. Taher Husainy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1395 N Courtenay Pkwy Ste 106, Merritt Island, FL 32953 Phone: 321-452-1224 Fax: 321-453-7784 |