Dr Luis Clyde Favilli, MD in Lakeland, FL

Dr Luis Clyde Favilli, MD is a medicare enrolled "Family Medicine" physician in Lakeland, Florida. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Medical Home Alliance, Llc and his current practice location is 3650 Innovation Dr, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (860) 709-1968.

Dr Luis Clyde Favilli is licensed to practice in Florida (license number ME56610) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013912625.

Contact Information

	Dr Luis Clyde Favilli, MD
	3650 Innovation Dr, Lakeland, FL 33812-4105
	(860) 709-1968
	(863) 701-2151

Map and Direction

Physician's Profile

Full Name	Dr Luis Clyde Favilli
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	3650 Innovation Dr, Lakeland, 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.

Medical Education and Training:

Dr Luis Clyde Favilli graduated from medical school in 1985

NPI Data:

NPI Number: 1013912625
Provider Enumeration Date: 06/20/2005
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 8820172406
Enrollment ID: I20080227000289

Medical Identifiers

Medical identifiers for Dr Luis Clyde Favilli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013912625	NPI	-	NPPES
374563500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME56610 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Winter Haven Hospital	Winter haven, FL	Hospital
Bartow Regional Medical Center	Bartow, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Home Alliance, Llc	6406096536	75

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Luis Clyde Favilli allows following entities to bill medicare on his behalf.

Entity Name	Luis C Favilli Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336321835 PECOS PAC ID: 8123102704 Enrollment ID: O20080220000501

Entity Name	Medical Home Alliance, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luis Clyde Favilli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Luis Clyde Favilli, MD 6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027 Ph: (407) 845-0330	Dr Luis Clyde Favilli, MD 3650 Innovation Dr, Lakeland, FL 33812-4105 Ph: (860) 709-1968

Reviews and Comments

Family Medicine Doctors in Lakeland, FL

Danton Manabat Sun, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519
Dr. James K Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-284-6800 Fax: 863-687-1033
Greto Ramos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4710 S Florida Ave, Lakeland, FL 33813 Phone: 863-284-6800
Saundra Holseth, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3240 S Florida Ave, Lakeland, FL 33803 Phone: 863-646-4000 Fax: 863-646-5189
Alex I Garriga, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813 Phone: 863-644-4547 Fax: 863-701-9453
Dr. Avantica Gondi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803 Phone: 863-210-5640 Fax: 863-210-5716

Dr Luis Clyde Favilli, MD - Medicare Family Practice in Lakeland, FL