| Chaz Kisgeropoulos, | |
|
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
| (386) 231-6000 | |
| Not Available |
| Full Name | Chaz Kisgeropoulos |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 301 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 |
|---|---|---|---|
| 1235612581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 253 |
| Memorial Health Systems Inc | 9739081142 | 79 |
| Mailing Address | Practice Location Address |
|---|---|
| Chaz Kisgeropoulos, 5447 Carmody Lake Dr, Port Orange, FL 32128-7480 Ph: (386) 341-0652 | Chaz Kisgeropoulos, 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-6000 |
Rhonda Lee Gleason, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602 | |
Angelica Diez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000 | |
Savanna Hanh Duong, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 877-842-5432 | |
Celeste Nadine Welch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Parkway, Florida Memorial Medical Center, Daytona Beach, FL 32117 Phone: 386-231-3023 | |
Armando Fernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
Courtney Swallows, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1700 Fax: 386-425-1704 | |
Marissa Stewart, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117 Phone: 386-231-3540 |