Financial Assistance Policy
If Intracoastal Surgery Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Intracoastal Surgery Center may initiate contact with them to determine your cost-sharing responsibilities for Intracoastal Surgery Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Intracoastal Surgery Center determines that you have cost-sharing responsibilities for Intracoastal Surgery Center’s bill, in accordance with Intracoastal Surgery Center’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided. Intracoastal Surgery Center’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before the date that Services are provided, because you believe you are medically indigent or you are not covered by any health insurance or HMO, then upon request Intracoastal Surgery Center, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by Intracoastal Surgery Center to be “charity care.” There is no formal application process for obtaining “charity care” at Intracoastal Surgery Center. Intracoastal Surgery Center’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.
Good Faith Estimate
Upon your request, and before the provision of non-emergency care at Intracoastal Surgery Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Intracoastal Surgery Center. This estimate must be provided to you within seven (7) days of the request being received by Intracoastal Surgery Center. You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling Intracoastal Surgery Center at +1-321-610-3460.
Itemized Bill
Upon request and after discharge from Intracoastal Surgery Center we will provide a statement within 7 working days of your request.
Provider Disclosure
Services may be provided in this health care facility by Intracoastal Surgery Center as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as Intracoastal Surgery Center. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Intracoastal Surgery Center may contract with providers for pathology and anesthesiology services; these services are billed separately from Intracoastal Surgery Center for their services. You may contact these providers through their contact information provided below.
Intracoastal Surgery Center Providers
ORTHOPEDIC:
Dr. David Dominguez
141 Coconut Drive
Indialantic, FL 32903
(321) 610 – 8939
Dr. Kyle Moyles
Dr. Brandon Frye
2010 W Eau Gallie Blvd, Suite 104
Mebourne, FL 32935
(321) 500 – 4263
Dr. Jeffrey Greenspoon
Dr. Bryan Parry
6525 3rd Street, Suite 302
Rockledge, FL 32955
(321) 241 – 1144
Dr. John Perry
1700 W Hibiscus Blvd
Melbourne, FL 32901
(321) 500 – 5633
GENERAL SURGERY:
Dr. Mark Talbert129 Hibiscus Blvd
Melbourne, FL 32901
(321) 372 – 1372
PODIATRY:
Dr. Daniel Cohen
7730 N Wickham Rd, Ste 103
Melbourne, FL 32940
(321) 253 – 3595
Dr. John Mackenney
6550 N Wickham Rd, Ste 4
Melbourne, FL 32940
(321) 259 – 4268
Dr. Jared Moyles
1515 Airport Blvd
Melbourne, FL 32901
(321) 723 – 3500
Dr. Michael Sosinski
2404 N Courtenay Blvd
Merritt Island, FL 32953
(321) 452 – 1327
UROLOGY:
Dr. Prodrromos Borboroglu
575 S Wickham Rd, Suite B
West Melbourne, FL 32904
(321) 308 – 5060
Dr. Andrew Zabinski
129 W Hibiscus Blvd
Melbourne, FL 32901
(321) 372 – 1372
SPINE:
Dr. Jacob Januszewski
1601 S Apollo Blvd
Melbourne, FL 32901
(321) 327 – 7797
PAIN MANAGEMENT:
Dr. Vijay Katukuri
1301 W Eau Gallie Blvd, Ste 112
Melbourne, FL 32935
(321) 327 – 9788
GYNECOLOGY:
Dr. Victor Benezra
129 W Hibiscus Blvd, Ste A
Melbourne, FL 32901
(321) 405 – 3000
ANESTHESIOLOGY:
BREVARD PHYSICIAN ASSOCIATES
1775 w Hibiscus Blvd, Ste 215
Mebourne, FL 32901
(321) 837 – 3820
Upon request and after discharge from Intracoastal Surgery Center, Intracoastal Surgery Center will make available the patient record that may be necessary for verification of the accuracy of your patient statement within 10 working days of your request.
Link to Healthcare Related Data
Pursuant to AHCA Statute: s.405.05,F.S. please find here a link to data, quality measures, and statistics that are disseminated by AHCA.
Patient Complaint or Grievance
To report a complaint or grievance, you can contact the facility Administrator by phone at +1-321-610-3460 or by mail at:
Intracoastal Surgery Center
2200 W. Eau Gallie Blvd., Suite 100