ACO Name and Location

Space Coast Independent Practice Association, LLC
Previous Names: N/A
1344 S. Apollo
Suite 303
Melbourne, Florida 32901

ACO Primary Contact

Primary Contact NameMark Bobango  
Primary Contact Phone Number(321) 727-2990
Primary Contact Email Addressbobabgom@omnihealthcare.com

Organizational Information

ACO participants:

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Omni Healthcare PAN
North Brevard Medical Support, Inc.N
Leon A Cohen, MD PAN
Suntree Internal Medicine, Inc.N
Sunshine Medical Care, Inc.N
  

ACO governing body:

 

MemberMember’s Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Last NameFirst NameTitle/Position
DeligdishCraigChairman14.285ACO Participant RepresentativeOmni Healthcare, PA
BobangoMarkCEO14.285ACO Participant RepresentativeOmni Healthcare, PA
RostekMarkMember14.285ACO Participant RepresentativeOmni Healthcare, PA
KancilliaJohnMember0Other- CounselN/A
MikitarianGeorgeMember14.285ACO Participant RepresentativeNorth Brevard Medical Support, Inc.
JordanCharlesMember14.285Medicare Beneficiary RepresentativeN/A
CohenLeonMember14.285ACO Participant RepresentativeLeon A Cohen MD PA
McAlpineChrisMember14.285ACO Participant RepresentativeNorth Brevard Medical Support, Inc.

Key ACO clinical and administrative leadership:

 

Craig DeligdishACO Executive
Peter TaraschiMedical Director

Ed Hall

Compliance Officer
Mark BobangoQuality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

 

Committee NameCommittee Leader Name and Position
Finance CommitteeMark Bobango, CEO
Quality, Utilization & Audit CommitteeCraig Deligdish, MD, Chairman
Compliance CommitteeJohn Kancillia, Counsel

 

Types of ACO participants, or combinations of participants, that formed the ACO:

 

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

 

Amount of Shared Savings/Losses

  • N/A

 

Shared Savings Distribution

  • N/A

 

Quality Performance Results

 

Our ACO did not participate in the Shared Savings Program in the previous performance year, therefore this section is not applicable at this time.

Payment Rule Waivers

 

  • No, our ACO does not use the SNF 3-Day Rule Waiver.