| Sokunthirith Thach, DO | |
|
2090 Saxon Blvd Ste B, Deltona, FL 32725-3251 | |
| (386) 425-3300 | |
| (386) 425-3301 |
| Full Name | Sokunthirith Thach |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2090 Saxon Blvd Ste B, Deltona, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922341148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 267109 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | OS15323 (Florida) | Primary |
| Entity Name | Beth Israel Lahey Health Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568292423 PECOS PAC ID: 7719291434 Enrollment ID: O20160517000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Sokunthirith Thach, DO 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 226-4590 | Sokunthirith Thach, DO 2090 Saxon Blvd Ste B, Deltona, FL 32725-3251 Ph: (386) 425-3300 |
Dr. Frederick J Weigand, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1565 Saxon Blvd, Suite 102, Deltona, FL 32725 Phone: 386-917-7395 Fax: 386-532-7152 | |
Evelyn Rodriguez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 102, Deltona, FL 32725 Phone: 386-917-7395 Fax: 386-532-7152 | |
Pooja Shankar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 102, Deltona, FL 32725 Phone: 386-200-6454 | |
Dr. Sara Lindsey Thurgood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Providence Blvd, Deltona, FL 32725 Phone: 386-774-7262 Fax: 386-481-5531 | |
Ms. Pamela Elizabeth Hall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 Deltona Blvd, Suite A, Deltona, FL 32725 Phone: 386-860-4545 Fax: 386-860-5632 | |
Giselle I Weigert, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 102, Deltona, FL 32725 Phone: 386-917-7395 | |
Dr. Simin Salehi, Family Medicine Medicare: Medicare Enrolled Practice Location: 1565 Saxon Blvd Ste 103, Deltona, FL 32725 Phone: 386-574-1423 Fax: 321-684-5212 |