| Mr Matthew Tsampico Baker, PA-C | |
|
807 State Road 44, New Smyrna Beach, FL 32168-7271 | |
| (386) 428-5554 | |
| (386) 428-6291 |
| Full Name | Mr Matthew Tsampico Baker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 807 State Road 44, New Smyrna 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 |
|---|---|---|---|
| 1255789392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAX000012566 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA9109462 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parrish Home Health | Titusville, FL | Home health agency |
| Parrish Medical Center | Titusville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mission Family Medicine Llc | 2769869593 | 5 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | Mobile Visiting Practitioners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265915359 PECOS PAC ID: 7810239100 Enrollment ID: O20190507002879 |
| Entity Name | Mission Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699447086 PECOS PAC ID: 2769869593 Enrollment ID: O20220517003253 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Tsampico Baker, PA-C 807 State Road 44, New Smyrna Beach, FL 32168-7271 Ph: (386) 428-5554 | Mr Matthew Tsampico Baker, PA-C 807 State Road 44, New Smyrna Beach, FL 32168-7271 Ph: (386) 428-5554 |
Yasmine Faisal Haidar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 617 Canal St Ste 110, New Smyrna Beach, FL 32168 Phone: 386-734-9122 |
Mr. Todd K. Bergan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1860 Renzulli Road, New Smyrna Beach, FL 32168 Phone: 386-663-3064 |
Michael Joel Thompson, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 845 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-423-2550 Fax: 386-423-2525 |
Katherine Vanhove, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Live Oak St Ste B, New Smyrna Beach, FL 32168 Phone: 386-518-3671 |
Shelby Wheeler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-423-0505 |
Julian Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 161 N Causeway Ste A, New Smyrna Beach, FL 32169 Phone: 386-424-1584 Fax: 386-410-4800 |
Mr. Marc Bryan Hull, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1860 Renzulli Rd, New Smyrna Beach, FL 32168 Phone: 386-663-3061 Fax: 386-663-3066 |