| Wayne Barry, MD | |
|
1055 Saxon Blvd.,, Florida Hospital Fish Memorial, Orange City, FL 32763 | |
| (386) 917-5434 | |
| (386) 917-5101 |
| Full Name | Wayne Barry |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1055 Saxon Blvd.,, Orange City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497794739 | NPI | - | NPPES |
| 221871 | Other | FL | AMERIGROUP |
| 04618 | Other | FL | BLUE CROSS OF FLORIDA |
| 257134000 | Medicaid | FL | |
| P30090443 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME51146 (Florida) | Primary |
| Entity Name | Primecare At Twin Lakes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902809122 PECOS PAC ID: 3072591924 Enrollment ID: O20040708000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Barry, MD 397 Caddie Dr, Debary, FL 32713-4514 Ph: (386) 917-0811 | Wayne Barry, MD 1055 Saxon Blvd.,, Florida Hospital Fish Memorial, Orange City, FL 32763 Ph: (386) 917-5434 |
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: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Amy Sue Kelley, MD Emergency Medicine Medicare: Medicare Enrolled 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 |