DR. MARY JUNE DERBENWICK M.D.
NPI 1063405975
Psychiatry & Neurology - Vascular Neurology in Daytona Beach, FL
NPI Status: Active since August 25, 2005
Contact Information
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 238-3244
Fax: (386) 238-3269
- Individual
- Female
- Psychiatry & Neurology
- Vascular Neurology
- Accepts Insurance
- PECOS Enrolled
About MARY DERBENWICK
This page provides the complete NPI Profile along with additional information for Mary Derbenwick, a provider established in Daytona Beach, Florida with a medical specialization in Psychiatry & Neurology, focusing in vascular neurology . The healthcare provider is registered in the NPI registry with number 1063405975 assigned on August 2005. The practitioner's primary taxonomy code is 2084V0102X with license number ME0028487 (FL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1063405975
- Provider Name
- DR. MARY JUNE DERBENWICK M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114
- Location Phone
- (386) 238-3244
- Location Fax
- (386) 238-3269
- Mailing Address
- 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114
- Mailing Phone
- (386) 238-3244
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2005
- Last Update Date
- 06-23-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Vascular Neurology
- Taxonomy Code
- 2084V0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0028487
- License State
- FL
- Taxonomy Description
- Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gym Access IND Bronze HMO 1340 - HMO
- Gym Access IND Bronze HMO OA 1211 - HMO
- Gym Access IND Bronze HMO OA Standard 2450 - HMO
- Gym Access IND Bronze POS 1042 - POS
- Gym Access IND Bronze POS BC 3841 - POS
- Gym Access IND Bronze POS OA 1211 - POS
- Gym Access IND Bronze POS OA Standard 2450 - POS
- Gym Access IND Bronze Standardized HMO - HMO
- Gym Access IND Essential Plus Catastrophic HMO 36 - HMO
- Gym Access IND Essential Plus Catastrophic POS 37 - POS
- Gym Access IND Essential Plus Platinum POS 65 - POS
- Gym Access IND Gold HMO 4500 - HMO
- Gym Access IND Gold HMO BC 5651 - HMO
- Gym Access IND Gold HMO H.S.A 9010 - HMO
- Gym Access IND Gold HMO OA Standard 3450 - HMO
- Gym Access IND Gold POS 55001 - POS
- Gym Access IND Gold POS BC 5651 - POS
- Gym Access IND Gold POS OA Standard 3450 - POS
- Gym Access IND Platinum POS BC 1941 - POS
- Gym Access IND Platinum POS OA Standard 4450 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64322 | OTHER (01) | FL | BCBS |
| 1063405975 | OTHER (01) | FL | TRICARE |
| 1063405975 | OTHER (01) | FL | VHN |
Medicare Participation & PECOS Enrollment Status
Mary Derbenwick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 32114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.04
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $32.51
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. MARY JUNE DERBENWICK M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 0 | 5 | 9 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 0 | 10 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 0 + 1 + 0 + 9 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1063405975 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982691507 | SCOTT GRANDE DDS Individual | Dentist (General Practice) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3280 |
| 1518954924 | MICHAEL TIDWELL DMD Individual | Dentist (General Practice) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3280 |
| 1972571933 | WILLIAM HOLLER M.D. Individual | Radiology (Diagnostic Radiology) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3200 |
| 1366402562 | KENNETH DERBENWICK MD Individual | Legal Medicine | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3200 |
| 1730258088 | MR. RICHARD FRANK MILLER ARNP Individual | Nurse Practitioner | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3200 |
| 1083734784 | MR. MARK A MILLER RPH Individual | Pharmacist | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 248-0832 |
| 1265420103 | DAVID L WILLIAMS MD Individual | Internal Medicine (Cardiovascular Disease) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3289 |
| 1851309629 | DR. STEPHEN E MINOR M.D. Individual | Internal Medicine (Interventional Cardiology) | 350 N CLYDE MORRIS BLVD SUITE 1 DAYTONA BEACH, FL 32114 (386) 238-3289 |
| 1013189877 | TYLER JAY STALEY M.D. Individual | Physical Medicine & Rehabilitation (Sports Medicine) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3290 |
| 1245560291 | MS. CARA J KARNER R.D. Individual | Dietetic Technician, Registered | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 676-7100 |
| 1316907389 | CATHERINE ROBINSON R.D. Individual | Dietitian, Registered | 350 N CLYDE MORRIS BLVD SUITE 9 DAYTONA BEACH, FL 32114 (386) 226-4518 |
| 1013980655 | DR. ANNEMARIE ETIENNE MD Individual | Ophthalmology | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 676-7103 |
| 1407823909 | PERVEZ TIRAND IRANPUR MD Individual | Anesthesiology (Pain Medicine) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3226 |
| 1578550257 | MR. JIMMY ALLEN WYATT PA-C Individual | Physician Assistant (Medical) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3289 |
| 1205451705 | TIFFANY VARELA KHAN APRN Individual | Nurse Practitioner (Family) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3200 |
| 1215097688 | JOHN EMIL CALIENDO MD Individual | Psychiatry & Neurology (Psychiatry) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 676-7175 |
| 1235336744 | DENISE CORAL DANIEL MD, MPH Individual | General Practice | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3221 |
| 1225232051 | DR. ELIZABETH ANN LE M.D. Individual | Family Medicine | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3221 |
| 1518070119 | DR. NILOUFAR WILSON MD Individual | Internal Medicine (Cardiovascular Disease) | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3289 |
| 1801239223 | LAWRENCE LINDSAY PEDLEY JR. PA-C Individual | Physician Assistant | 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 (386) 238-3221 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063405975, enumerated in the NPI registry as an "individual" on August 25, 2005
The provider is located at 350 N Clyde Morris Blvd Daytona Beach, Fl 32114 and the phone number is (386) 238-3244
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084V0102X with a focus in Vascular Neurology
The provider might be accepting Accepts: Florida Health Care Plans, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $130.04 with an average copayment of $32.51 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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