EM HealthCare & Associates

Thoughtful care for older adults

Geriatric Primary Care in Palm Bay

Personalized primary care to help older adults manage changing health needs, multiple medications and ongoing medical conditions with greater clarity and confidence.

Relationship-based primary care

Health needs can become more connected and more complex with age.

A patient may see several specialists, take multiple medications or experience changes in mobility, memory, nutrition or everyday function. At EM Healthcare & Associates, Ebony Maynard, APRN-FNP brings these concerns together within a practical primary care plan.

Visits focus on what has changed, which priorities matter most and what should happen next. Care is available in person at our Palm Bay clinic, with telehealth offered for eligible visits when an in-person examination is not required.

Geriatric-focused services

Primary care that adapts to changing needs

Care is personalized according to the patient's history, medications, risk factors, goals and current level of function.

01

Preventive Care

Routine monitoring, recommended screenings, immunization review and guidance for maintaining health and independence.

02

Chronic-Condition Management

Ongoing support when diabetes, high blood pressure, arthritis and other conditions affect one another.

Rx

Medication Reconciliation

Review of prescriptions, over-the-counter medicines and supplements for duplication, interactions and monitoring needs.

04

Functional Assessments

Evaluation of fall risk, mobility, memory, nutrition and the ability to manage everyday activities.

05

Lab Monitoring

Clinically appropriate testing to monitor chronic conditions, symptoms, medications and important health markers.

06

Care Coordination

Referrals, record review and communication with specialists, therapists and other healthcare professionals.

Medication safety

Medication reconciliation and polypharmacy review

Taking several medications can increase the risk of side effects, interactions, duplication and confusion about when or why each medicine is used.

  • Confirm why each medication is being taken
  • Identify duplicate or overlapping therapies
  • Discuss possible side effects and interactions
  • Review dosage, timing and adherence concerns
  • Determine whether monitoring is needed
Prepare for your visit

Bring the complete list

Bring all prescription medications, over-the-counter medicines, vitamins and supplements, or provide an updated list that includes the dosage and frequency.

Medication changes are made only when clinically appropriate and may require communication with the original prescribing provider or specialist.

Whole-person assessment

Changes worth discussing

Small changes in balance, memory, appetite or daily routines can sometimes signal a larger concern. Bring them up even if they do not yet feel urgent.

Fall Risk & Mobility

Recent falls, near-falls, weakness, dizziness, balance concerns, walking changes and use of mobility aids.

Memory & Cognition

Forgetfulness, confusion, difficulty managing medications or changes noticed by family members.

Nutrition & Weight

Reduced appetite, hydration concerns, unplanned weight changes or difficulty preparing meals.

Daily Function

Changes in bathing, dressing, household tasks, transportation or the need for additional support.

Caregiver participation

Family can be part of the conversation

Family members and caregivers may provide helpful information about medications, symptoms, appointments and changes in daily function. With the patient's permission, they may participate in visits, ask questions and help support the care plan.

We also respect the patient's privacy, autonomy and role in making healthcare decisions. Patients who want a caregiver involved may bring that person to the clinic or ask whether they can participate in an eligible telehealth visit.

Connected care

From evaluation to follow-up

Review the full picture

We discuss health concerns, medications, recent changes, specialists and the patient's daily function.

Identify priorities

The plan may include treatment, lab testing, monitoring, preventive care or a referral.

Coordinate next steps

Follow-up care helps keep recommendations, medication lists and test results organized.

Billing & insurance

Confirm your plan before scheduling

Billing and insurance are managed through Privia and athenahealth. Coverage and network participation vary by plan, service and product type.

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Health First
  • Humana
  • Medicaid
  • Oscar
  • Simply Healthcare
  • Sunshine Health
  • UnitedHealthcare
  • Wellcare

Select HMO, PPO, POS, EPO, Medicare Advantage and Medicaid products may be accepted depending on the carrier. Contact our office or your insurer to verify participation, referral requirements and benefits.

Medicare: Ebony Maynard is enrolled as a non-DME Medicare Part B provider under NPI 1659797645.

Common questions

Geriatric care FAQ

Call our office if you need help determining whether this service is appropriate.

Call the Office
What is geriatric primary care?

It addresses health needs commonly experienced by older adults, including prevention, chronic-condition management, medication review, functional assessment, lab monitoring and care coordination.

Is Ebony Maynard a board-certified geriatrician?

This page does not represent Ebony Maynard as a physician or as board-certified in geriatric medicine. She is a family nurse practitioner who provides primary care for older adults and patients with chronic or complex health needs.

Can a family member attend my appointment?

Yes. With the patient's permission, a family member or caregiver may participate, provide relevant information and help support the care plan.

Can the clinic evaluate memory concerns?

The clinic can discuss changes and perform appropriate initial screening. Screening does not automatically establish a diagnosis. Additional testing or specialist evaluation may be recommended.

Are telehealth visits available?

Telehealth may be available for eligible follow-ups, medication discussions and test-result reviews. Some symptoms and assessments require an in-person examination.

Does the clinic provide home visits?

No. Appointments are offered at the Palm Bay clinic and through telehealth when clinically appropriate.

Personalized primary care

Create a clearer plan for changing health needs.

In-person appointments in Palm Bay with telehealth available for eligible visits.

EM Healthcare & Associates

Nexus Letters for Veterans

FL Veterans Disability Nexus Letter and C&P Exam Assistance

If you’re a veteran pursuing a VA disability claim, the most important piece of evidence is often a clear, medically supported Nexus Letter.  At Palm Bay Clinic, Ebony Maynard, APRN provides professional, evidence-based medical opinions that connect your current condition to your military service to help you build a stronger, more credible claim.

What are Nexus Letters for Veterans?

A Nexus Letter is a medical document written by a qualified healthcare provider that explains the connection between:

Your current medical condition

A clear diagnosis of your current health condition, including symptoms, severity, and how it impacts your daily function and quality of life.

Your military service, injury, or exposure

A detailed account of your military service, including specific events, injuries, or environmental exposures that may have contributed to your condition.

This letter is often critical in proving service connection and can significantly improve your chances of VA disability approval.

Who This Service Is For

This service is ideal for veterans who:

  • Have been denied VA disability benefits

  • Need stronger medical evidence for an appeal

  • Are preparing a new VA disability claim

  • Were told they need a medical opinion linking their condition to service

  • Want a cost-effective alternative to attorney-driven documentation

Veterans Disability Nexus Letter Includes...

Medical Record Review

Comprehensive Evaluation
We analyze your medical history, service records, and supporting documentation to build a strong foundation.

Detailed Nexus Letter

A professionally written medical opinion that includes:
★ Clear service connection explanation
★ Clinical rationale
★ Supporting medical literature
★ VA-compliant language

C&P Exam Guidance

Preparation and insight to help you understand:
☑ What to expect during your Compensation & Pension (C&P) exam
☑ How to accurately communicate your symptoms and history

Conditions Commonly Supported

We assist with Nexus Letters for a wide range of conditions, including:

  • Musculoskeletal injuries (back, neck, joints)

  • Chronic pain conditions

  • PTSD, anxiety, and depression

  • Sleep apnea

  • Migraines and neurological conditions

  • Secondary conditions related to service-connected disabilities

How long does it take to get a Nexus Letter?

Turnaround time varies based on case complexity, but most letters are completed within a few business days after full documentation is received.

Is this accepted by the VA?

Yes. Nexus Letters are commonly used as supporting medical evidence in VA disability claims when written by a qualified provider.

Do I still need a C&P exam?

In many cases, yes. However, a strong Nexus Letter can significantly influence the outcome of your evaluation.

Is this service confidential?

Absolutely. All medical information is handled securely and in compliance with patient privacy standards.

FAQ

Compliance Disclaimer:

This service provides medical opinions for VA disability claims and does not guarantee claim approval. Final decisions are made by the U.S. Department of Veterans Affairs. This service does not replace legal advice.

 

Take the Next Step in Your VA Claim

You’ve served your country—now get the medical support you deserve. Work with a trusted provider who understands what the VA is looking for and how to document it clearly.