Diego Moguillansky, MD | |
1600 Sw Archer Rd, Congenital Heart Center, Gainesville, FL 32610-0296 | |
(352) 273-7517 | |
(352) 392-0547 |
Full Name | Diego Moguillansky |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 24 Years |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497984447 | NPI | - | NPPES |
004148000 | Medicaid | FL | |
ME110760 | Other | FL | STATE OF FLORIDA, DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | ME110760 (Florida) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | ME110760 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Uf Health Shands Hospital | Gainesville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
---|---|
Diego Moguillansky, MD 2563 Sw 87th Dr, Suite 201, Gainesville, FL 32608-9379 Ph: (215) 279-1298 | Diego Moguillansky, MD 1600 Sw Archer Rd, Congenital Heart Center, Gainesville, FL 32610-0296 Ph: (352) 273-7517 |
Dr. Bahareh Ebadifar Keith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-0462 Fax: 352-273-6250 | |
Jose Maria Cardenas Fimbres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610 Phone: 915-803-1159 | |
Stephen Smyth Beebe, MD FACP Pediatrics Medicare: Medicare Enrolled Practice Location: 6440 W Newberry Rd, #402, Gainesville, FL 32605 Phone: 352-333-5500 Fax: 352-333-5506 | |
Kristin Alexandra Dayton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9001 | |
Neel Kamal Singh, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9011 | |
Donald J Fillipps, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0451 Fax: 352-392-9802 | |
Sarah Tatum Ritchie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32601 Phone: 352-273-5400 Fax: 352-273-5260 |