Husam E Eddin (NPI# 1629082607, PAC ID# 7113945874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1629082607 |
| PAC ID by PECOS | 7113945874 |
| Professional Enrollment ID | I20051110000748 |
| Full Name | Husam E Eddin |
| Organization Legal Name | EXCELLENCE HEALTH LLC |
| Address |
1630 Mason Ave Suite C Daytona Beach FL 32117-4547 |
| Phone Number | 3862389064 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0840534160 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 | 3862389064 | EXCELLENCE HEALTH LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
| MIPS_EC_326_overall | Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | 100% | |
| MIPS_EC_326_overall | Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | 100% |
| Organization Legal Name | EXCELLENCE HEALTH LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea L Mercado | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Sara R Schiffman | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Radharani S Gollamudi | Internal Medicine | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Laura Partlow | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Michelle A Powell | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Chee Y Lee | Internal Medicine | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Benigno J Digon Iii | Endocrinology | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Melissa Ann Goddard | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Emma Ems | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Jordan R Roberson | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Street Address |
1630 MASON AVE SUITE C |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32117-4547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea L Mercado | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Sara R Schiffman | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Radharani S Gollamudi | Internal Medicine | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Laura Partlow | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Michelle A Powell | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Chee Y Lee | Internal Medicine | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Benigno J Digon Iii | Endocrinology | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Melissa Ann Goddard | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Emma Ems | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Jordan R Roberson | Nurse Practitioner | Excellence Health LLC | 1630 Mason Ave, Suite C, Daytona Beach, FL 32117-4547 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Faile | Family Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Richard C Braithwaite | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Joseph J Zuckerman | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| James T Moore | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Karen Michelle Berkeley | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Jared Ritter | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Willis Blower | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Wendy A Myers | Internal Medicine | Florida Health Care Plans Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Mary Jo Arciom | Chiropractic | 244 9th St, Holly Hill, FL 32117-3535 | |
| Gabriel F Rizzo | Chiropractic | 701 Ridgewood Ave, Unit B, Holly Hill, FL 32117-3619 | |
| Find all physicians in zip 32117 | |||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | DAYTONA BEACH + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Husam E Eddin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.