Dr Gustavo A Fonseca, MD | |
521 N Lecanto Hwy, Florida Cancer Specialists P L, Lecanto, FL 34461-9187 | |
(352) 746-0707 | |
(352) 746-6333 |
Full Name | Dr Gustavo A Fonseca |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 39 Years |
Location | 521 N Lecanto Hwy, Lecanto, 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 |
---|---|---|---|
1063478766 | NPI | - | NPPES |
064874400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0000X | Internal Medicine - Hematology | ME57124 (Florida) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | ME57124 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Citrus Memorial Hospital | Inverness, FL | Hospital |
Bayfront Health Seven Rivers | Crystal river, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Cancer Specialists And Research Institute, Llc | 2567356058 | 371 |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
Mailing Address | Practice Location Address |
---|---|
Dr Gustavo A Fonseca, MD Po Box 102222, Attn: Credentialing, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Dr Gustavo A Fonseca, MD 521 N Lecanto Hwy, Florida Cancer Specialists P L, Lecanto, FL 34461-9187 Ph: (352) 746-0707 |
Marta B Babol, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2804 W Marc Knighton Ct, Lecanto, FL 34461 Phone: 352-746-8000 | |
Dr. Myriam Beatriz Cruz-calderon,, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2385 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-527-6888 | |
Dr. Mark Joseph Knapp, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2804 W Marc Knighton Ct, Lecanto, FL 34461 Phone: 352-726-8000 | |
Dr. Lawrence Mark Rothenberg, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 | |
Mrs. Glorimar Nazario-vidal, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461 Phone: 352-746-8000 Fax: 352-746-8001 | |
Dr. Bhavesh B Barad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-423-1013 Fax: 352-513-3043 |