DR. MARY JUNE DERBENWICK M.D.
NPI 1063405975
Psychiatry & Neurology - Vascular Neurology in Daytona Beach, FL

Q: What is Mary Derbenwick's NPI number?

The NPI number for Mary Derbenwick is 1063405975. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Mary Derbenwick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Q: When was this NPI record last updated?

The NPPES record for Mary Derbenwick was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment

350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 238-3244(386) 238-3269 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2023, Feb 22, 2016 (2 updates tracked since 2016).

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About Dr. Mary June Derbenwick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY JUNE DERBENWICK M.D. (NPI 1063405975) is an individual vascular neurology provider in Daytona Beach, Florida, licensed in Florida (ME0028487) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1971).

NPPES Registry Identity

NPI1063405975

Entity TypeIndividualFemale

Primary Taxonomy2084V0102X

Provider Legal NameDR. MARY JUNE DERBENWICKCredential: M.D.

Location Address350 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2733

Mailing Address350 N Clyde Morris BlvdDaytona Beach, FL 32114-2733 · (386) 238-3244

Phone(386) 238-3244

Fax(386) 238-3269

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1971

Enumeration DateAugust 25, 2005

Last NPPES UpdateJune 23, 20232 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1063405975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

License✔ Licensed in FL · ME0028487

Definition

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.

350 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114

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Other Identifiers 3

Other64322FL · Bcbs

Other1063405975FL · Tricare

Other1063405975FL · Vhn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Health Care Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary June Derbenwick M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032199542

PECOS Enrollment IDI20040724000081

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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