Memorial Health Systems Inc - Medicare Primary Care in Daytona Beach, FL

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Memorial Health Systems Inc is a medicare enrolled primary clinic (Surgery) in Daytona Beach, Florida. The current practice location for Memorial Health Systems Inc is 305 Memorial Medical Pkwy Ste 205, Daytona Beach, Florida. For appointments, you can reach them via phone at (386) 231-3530. The mailing address for Memorial Health Systems Inc is 770 W Granada Blvd Ste 203, Ormond Beach, Florida and phone number is (863) 231-4252.

Memorial Health Systems Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922115914. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (386) 231-3530.

Contact Information

Memorial Health Systems Inc
305 Memorial Medical Pkwy Ste 205
Daytona Beach
FL 32117-5169
(386) 231-3530
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMemorial Health Systems Inc
SpecialitySurgery
Location305 Memorial Medical Pkwy Ste 205, Daytona Beach, Florida
Authorized Official Name and PositionCory Domayer (CFO)
Authorized Official Contact3862313906
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Memorial Health Systems Inc
770 W Granada Blvd Ste 203
Ormond Beach
FL 32174-5179

Ph: (863) 231-4252		Memorial Health Systems Inc
305 Memorial Medical Pkwy Ste 205
Daytona Beach
FL 32117-5169

Ph: (386) 231-3530

NPI Details:

NPI Number1922115914
Provider Enumeration Date08/24/2006
Last Update Date04/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9739081142
Medicare Enrollment IDO20040730000409

Medical Identifiers

Medical identifiers for Memorial Health Systems Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922115914NPI-NPPES
40181JOtherFLMEDICARE ID UNSPECIFIED

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Memorial Health Systems Inc acts as a billing entity for following providers:
Provider NameArthur W Wilkinson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1396719571
PECOS PAC ID: 4880669787
Enrollment ID: I20040901001120
Provider NameDavid L Meese
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1235131962
PECOS PAC ID: 3678534609
Enrollment ID: I20041022001009
Provider NameFederico C Vinas
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1184601304
PECOS PAC ID: 5395708960
Enrollment ID: I20041105000230
Provider NameJessy Casimiro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639157902
PECOS PAC ID: 5092779355
Enrollment ID: I20041116000834
Provider NameLuther St James
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013105477
PECOS PAC ID: 3779547062
Enrollment ID: I20041116001070
Provider NameCarol Tanner St James
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740478197
PECOS PAC ID: 5395709968
Enrollment ID: I20041116001134
Provider NamePatrick Terry Mangonon
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1023067584
PECOS PAC ID: 1759328461
Enrollment ID: I20050414000293
Provider NameChristian L Birkedal
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043205404
PECOS PAC ID: 0840228797
Enrollment ID: I20050801001109
Provider NameMichael E Townsend
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427024504
PECOS PAC ID: 5193742567
Enrollment ID: I20051026000274
Provider NameMark W Lastarza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831165448
PECOS PAC ID: 8426075706
Enrollment ID: I20051026000449
Provider NameAndrew J Niewald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548381049
PECOS PAC ID: 6608883228
Enrollment ID: I20060307000486
Provider NameJulie D Schneider
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720001852
PECOS PAC ID: 6002911211
Enrollment ID: I20070417000537
Provider NameCecille A Tapia-santiago
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1386693877
PECOS PAC ID: 0244229508
Enrollment ID: I20070709000519
Provider NameMeetesh S Desai
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1346290145
PECOS PAC ID: 2567554744
Enrollment ID: I20070817000018
Provider NameAshraf S Elsakr
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1184627390
PECOS PAC ID: 1658368667
Enrollment ID: I20070904000555
Provider NameDennis M Murphy
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1992704522
PECOS PAC ID: 4082717376
Enrollment ID: I20070915000109
Provider NameUtpal Sureskumar Desai
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1760478101
PECOS PAC ID: 9234225590
Enrollment ID: I20071017000798
Provider NameSergio J Vignali
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417085309
PECOS PAC ID: 8729160395
Enrollment ID: I20080205000237
Provider NameJoshua R Eisenhut
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013112580
PECOS PAC ID: 3779655626
Enrollment ID: I20080709000434
Provider NameShawn W Thomas
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1043416506
PECOS PAC ID: 8921173923
Enrollment ID: I20080826000136
Provider NameMark Riner
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1275521221
PECOS PAC ID: 5991872129
Enrollment ID: I20080930000200
Provider NameAndrew H Ritter
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1447252432
PECOS PAC ID: 3678599818
Enrollment ID: I20081202000905
Provider NameVinayak V Purandare
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1265429500
PECOS PAC ID: 7517982465
Enrollment ID: I20090127000416
Provider NameChad L Broome-webster
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1669430732
PECOS PAC ID: 6204992886
Enrollment ID: I20090305000601
Provider NameJohn T Tolland
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1750383733
PECOS PAC ID: 6305862541
Enrollment ID: I20090515000469
Provider NameBennett P Scaglia
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1003880626
PECOS PAC ID: 3274600911
Enrollment ID: I20090529000304
Provider NameGregory James Velat
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1417031691
PECOS PAC ID: 2769534262
Enrollment ID: I20090714000683
Provider NameHezi Cohen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265427587
PECOS PAC ID: 3678663341
Enrollment ID: I20091228000379
Provider NameLisa M Gonsalves
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114997616
PECOS PAC ID: 4385789577
Enrollment ID: I20100226000146
Provider NameSureskumar D Desai
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1821181090
PECOS PAC ID: 5890820047
Enrollment ID: I20100315000013
Provider NameJames Mcdonnell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396849915
PECOS PAC ID: 3870628720
Enrollment ID: I20100317000130
Provider NameDiego T Torres Ii
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821093105
PECOS PAC ID: 7911991963
Enrollment ID: I20100607000631
Provider NameBenjamin Jay Peck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841396769
PECOS PAC ID: 4486787223
Enrollment ID: I20100816000984
Provider NameTed E Robertson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609849496
PECOS PAC ID: 7517141609
Enrollment ID: I20110414000444
Provider NameHeaven J Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649544305
PECOS PAC ID: 7719149079
Enrollment ID: I20120502000392
Provider NameBrittany Nicole Lawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275948754
PECOS PAC ID: 8820310378
Enrollment ID: I20141211001176
Provider NameLesly Ivette Velez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194120378
PECOS PAC ID: 2860715158
Enrollment ID: I20141217001146
Provider NameCary Howard Meyers
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1851329833
PECOS PAC ID: 5890699979
Enrollment ID: I20150218000410
Provider NamePrathap Kumar Simhadri
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1548410574
PECOS PAC ID: 3173767969
Enrollment ID: I20150223001025
Provider NameChristopher Grove
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306838545
PECOS PAC ID: 8426082173
Enrollment ID: I20151123001478
Provider NameSarah E Barbel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912355140
PECOS PAC ID: 7618262106
Enrollment ID: I20160823001630
Provider NameHaroldo Melo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457516254
PECOS PAC ID: 4880865088
Enrollment ID: I20160930001774
Provider NameTaylor P Unger
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1366893984
PECOS PAC ID: 5890076848
Enrollment ID: I20170105000677
Provider NameCindy B Trawick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598119943
PECOS PAC ID: 8426332669
Enrollment ID: I20170307000768
Provider NameBenjamin Lindbloom
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1699065128
PECOS PAC ID: 0446521744
Enrollment ID: I20170804001374
Provider NameMelissa Sepe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396222824
PECOS PAC ID: 3577814110
Enrollment ID: I20180920003530
Provider NameCloressa Marie Dizney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023558988
PECOS PAC ID: 2567714488
Enrollment ID: I20181003003870
Provider NameMargaret Christine Trope
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467938472
PECOS PAC ID: 9133471824
Enrollment ID: I20181008001998
Provider NameJason Nieves
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1194088369
PECOS PAC ID: 2961749353
Enrollment ID: I20190123001908
Provider NameGregory B Burgoyne
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659534063
PECOS PAC ID: 1850531013
Enrollment ID: I20190205000357
Provider NameJennifer Bottke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720575145
PECOS PAC ID: 7911247309
Enrollment ID: I20190321001524
Provider NameErinc Akture
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1417213513
PECOS PAC ID: 5698076057
Enrollment ID: I20190731000361
Provider NameMiranda Leigh Pelzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639607070
PECOS PAC ID: 1254668361
Enrollment ID: I20190813001564
Provider NameSherica A. Shapaka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013015577
PECOS PAC ID: 9133186018
Enrollment ID: I20190829001005
Provider NameAdam P Pasternak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295968311
PECOS PAC ID: 6103052717
Enrollment ID: I20190924002396
Provider NameSusan Stovall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851727069
PECOS PAC ID: 6800962226
Enrollment ID: I20200210000094
Provider NameMark Richard Zunkiewicz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104077064
PECOS PAC ID: 6709931553
Enrollment ID: I20200507001262
Provider NameAlexis Ann Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073030573
PECOS PAC ID: 7719238591
Enrollment ID: I20200512002858
Provider NameKatherine Dinan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487285953
PECOS PAC ID: 3375965049
Enrollment ID: I20200625001687
Provider NameNatasha Jairam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437507043
PECOS PAC ID: 9739471335
Enrollment ID: I20200629003209
Provider NameWillythssa Pierre-louis
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1265828032
PECOS PAC ID: 7416269683
Enrollment ID: I20200702001286
Provider NameZoe S Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588280325
PECOS PAC ID: 2567889892
Enrollment ID: I20200901000585
Provider NameJames Edward Collie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790385029
PECOS PAC ID: 7517378243
Enrollment ID: I20201201001169
Provider NameAndres Santiago Endara Bravo
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1972795599
PECOS PAC ID: 5698917110
Enrollment ID: I20201214000148
Provider NameMuhammed Sherid
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1700176088
PECOS PAC ID: 7810166949
Enrollment ID: I20210311000681
Provider NameJesna Susan Mathew Sublett
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1639460827
PECOS PAC ID: 6709181274
Enrollment ID: I20210524000422
Provider NameSherriann Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710577705
PECOS PAC ID: 2567876741
Enrollment ID: I20210524001951
Provider NameSarah Sakala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447892096
PECOS PAC ID: 9739589102
Enrollment ID: I20210608000248
Provider NameNancy Butler
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1770522377
PECOS PAC ID: 6305825068
Enrollment ID: I20210623000756
Provider NameValerie Marie Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306220108
PECOS PAC ID: 4284043605
Enrollment ID: I20210623001661
Provider NameWissam Mohamed Elfallal
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1730594805
PECOS PAC ID: 1153723846
Enrollment ID: I20210719000979
Provider NameRavi Varma Dhanisetty
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1427201359
PECOS PAC ID: 0345494175
Enrollment ID: I20211109003571
Provider NameCassie Marie Sciotto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760135875
PECOS PAC ID: 1052706744
Enrollment ID: I20220316000338
Provider NameSarah Ann Bionelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679221105
PECOS PAC ID: 0143616862
Enrollment ID: I20220406001006
Provider NameAshley Suzanne Pease
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326610544
PECOS PAC ID: 3779979141
Enrollment ID: I20220412001264
Provider NameChloe Louise Kindred
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790348191
PECOS PAC ID: 6507108792
Enrollment ID: I20220607002210
Provider NameVijay Mahadev Pandav
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1295046084
PECOS PAC ID: 6103065578
Enrollment ID: I20220803004068
Provider NameRon Rosenberg
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1598253825
PECOS PAC ID: 8325420581
Enrollment ID: I20220804000567
Provider NameMathew David Quattrocelli
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447769864
PECOS PAC ID: 8325436199
Enrollment ID: I20220804000967
Provider NameMarcus Magidow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376274654
PECOS PAC ID: 1052794914
Enrollment ID: I20220810002651
Provider NameRachel Hanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114241643
PECOS PAC ID: 6103958863
Enrollment ID: I20221004004018
Provider NameNathaniel Osborn
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528412236
PECOS PAC ID: 2668711029
Enrollment ID: I20221010001496
Provider NameSuzan Michelle De Feo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568169274
PECOS PAC ID: 2264805548
Enrollment ID: I20230307003078
Provider NameSarah Louise Lipman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629774492
PECOS PAC ID: 0345615365
Enrollment ID: I20230405000965
Provider NameGary Fishman
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1831138304
PECOS PAC ID: 9537124250
Enrollment ID: I20230406000515
Provider NameHarry Truman Aubin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1386906782
PECOS PAC ID: 3971913005
Enrollment ID: I20230421002146
Provider NameCrystal Dawn Geiger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225728272
PECOS PAC ID: 2062872112
Enrollment ID: I20230720002131
Provider NameMatthew Ryan Wilson
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1316006083
PECOS PAC ID: 2062644370
Enrollment ID: I20230817002366
Provider NameRonnie J Hoelker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811319908
PECOS PAC ID: 9931322955
Enrollment ID: I20230822000665
Provider NameRoss Myers Hempel
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1235660523
PECOS PAC ID: 8022471945
Enrollment ID: I20230824004314
Provider NameAndrew Edward Everett
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1134581283
PECOS PAC ID: 1456764869
Enrollment ID: I20231004002192
Provider NameJaclyn Marie Mignella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124582085
PECOS PAC ID: 2961850326
Enrollment ID: I20231122002397
Provider NameNatalia Cavin
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1134785504
PECOS PAC ID: 0749723245
Enrollment ID: I20240625000200
Provider NameCalvin Ellis Williams
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1801335898
PECOS PAC ID: 2264700079
Enrollment ID: I20240917000888
Provider NameCorrina D Kelch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447086087
PECOS PAC ID: 7315471646
Enrollment ID: I20241108003668

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.