Dr Carlos Enrique Ballestas, MD | |
12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906 | |
(954) 838-8801 | |
(954) 838-8807 |
Full Name | Dr Carlos Enrique Ballestas |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 12651 W Sunrise Blvd Ste 202, Sunrise, 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 |
---|---|---|---|
1609812437 | NPI | - | NPPES |
1791238-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M2549 (Texas) | Secondary |
207Q00000X | Family Medicine | ME110974 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Florida Primary Care Llc | 7315091899 | 4 |
Entity Name | East Florida Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811121205 PECOS PAC ID: 7315091899 Enrollment ID: O20090818000570 |
Mailing Address | Practice Location Address |
---|---|
Dr Carlos Enrique Ballestas, MD 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906 Ph: (954) 838-8801 | Dr Carlos Enrique Ballestas, MD 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906 Ph: (954) 838-8801 |
Ms. Paola Zaldumbide, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12727 Nw 15th St, Sunrise, FL 33323 Phone: 754-235-0558 | |
Dr. Martin Marenus, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2057 N University Dr, Sunrise, FL 33322 Phone: 954-742-0330 Fax: 954-742-8183 | |
Mr. Gray Matthew Fenton, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12651 W Sunrise Blvd, Suite 202, Sunrise, FL 33323 Phone: 954-838-7200 Fax: 954-838-9192 | |
Mr. Richard Michael Roistacher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8397 W Oakland Park Blvd, Sunrise, FL 33351 Phone: 954-741-5000 Fax: 954-741-1177 | |
Jason Navarro, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1257 Nw 125th Ter, Sunrise, FL 33323 Phone: 954-663-6271 | |
Dr. Anne Marie Nunez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13630 Nw 8th St Ste 205, Sunrise, FL 33325 Phone: 888-412-6681 | |
Dr. Zoie T Goldstein, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12651 W Sunrise Blvd, Suite 202, Sunrise, FL 33323 Phone: 954-838-8801 Fax: 954-838-8807 |