| Dr Nela F Ballesteros Moyano, MD | |
|
1914 State Road 44 Ste B, New Smyrna Beach, FL 32168-8345 | |
| (386) 428-3241 | |
| Not Available |
| Full Name | Dr Nela F Ballesteros Moyano |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 10 Years |
| Location | 1914 State Road 44 Ste B, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174026348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | ACN1184 (Florida) | Secondary |
| 208D00000X | General Practice | ACN1184 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | Florida Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Entity Name | Elevate Primary Care & Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336986827 PECOS PAC ID: 0042757809 Enrollment ID: O20240730001901 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nela F Ballesteros Moyano, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Nela F Ballesteros Moyano, MD 1914 State Road 44 Ste B, New Smyrna Beach, FL 32168-8345 Ph: (386) 428-3241 |
James R Meredith, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 502 Palmetto St, New Smyrna Beach, FL 32168 Phone: 869-571-8543 Fax: 386-878-4967 | |
James Westley Tanner, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1722 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-3241 Fax: 386-427-8440 |