| Melody Koback, | |
|
1200 Deltona Blvd, Suite 40a, Deltona, FL 32725-6386 | |
| (386) 202-6025 | |
| Not Available |
| Full Name | Melody Koback |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1200 Deltona Blvd, Deltona, 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 |
|---|---|---|---|
| 1952802043 | NPI | - | NPPES |
| 103491600 | Medicaid | FL |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Florida Health Services, Inc | 0547249518 | 11 |
| Entity Name | Northeast Florida Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992792311 PECOS PAC ID: 0547249518 Enrollment ID: O20040819000233 |
| Entity Name | Vmd Primary Providers Central Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134738974 PECOS PAC ID: 2860806197 Enrollment ID: O20210128001072 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Koback, 1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464 Ph: (386) 202-6025 | Melody Koback, 1200 Deltona Blvd, Suite 40a, Deltona, FL 32725-6386 Ph: (386) 202-6025 |
Elizabeth Bauza Estrada, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1409 E Hancock Dr, Deltona, FL 32725 Phone: 786-259-3944 | |
Marie De Jesus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2187 Howland Blvd, Deltona, FL 32738 Phone: 386-789-0813 | |
Feron Foster, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 201, Deltona, FL 32725 Phone: 386-532-1232 Fax: 386-532-3090 | |
Mrs. Alicia Crews, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 944 Deltona Blvd Unit 5196, Deltona, FL 32728 Phone: 386-272-2913 Fax: 386-590-9186 | |
Sol Angel Cowart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1202 Sacramento St, Deltona, FL 32725 Phone: 407-900-1288 Fax: 407-214-7845 | |
Stephanie Ann Trout, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 734 Elkcam Blvd, Deltona, FL 32725 Phone: 386-532-8200 | |
Sabrina I Snedaker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 102, Deltona, FL 32725 Phone: 386-917-7395 Fax: 386-532-7152 |