| Marygrace Polsinelli, | |
|
305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117-5169 | |
| (386) 231-3540 | |
| (386) 231-3544 |
| Full Name | Marygrace Polsinelli |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 305 Memorial Medical Pkwy Ste 401, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316820715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9120681 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth Palm Coast Parkway | Palm coast, FL | Hospital |
| Adventhealth Palm Coast | Palm coast, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 621 |
| 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 |
|---|---|
| Marygrace Polsinelli, 770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179 Ph: (386) 231-4519 | Marygrace Polsinelli, 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117-5169 Ph: (386) 231-3540 |
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 |
Brent Wilkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 |
Angelica Diez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000 |
Savanna Hanh Duong, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 877-842-5432 |
Celeste Nadine Welch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117 Phone: 386-231-3513 Fax: 386-231-3612 |
Armando Fernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 |
Marissa Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117 Phone: 386-231-3540 |