Dr Revathi Iyengar, MD | |
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
(352) 323-5467 | |
(352) 315-3633 |
Full Name | Dr Revathi Iyengar |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 29 Years |
Location | 600 E Dixie Ave, Leesburg, 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 |
---|---|---|---|
1457509168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | ME113806 (Florida) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME113806 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Villages Regional Hospital Physician Services Llc | 0244688893 | 50 |
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
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 | Leesburg Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245226190 PECOS PAC ID: 1254228448 Enrollment ID: O20040302001078 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | Neurological Services Of Orlando Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043292972 PECOS PAC ID: 3375560667 Enrollment ID: O20051026000520 |
Entity Name | Villages Regional Hospital Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700669926 PECOS PAC ID: 0244688893 Enrollment ID: O20231121001709 |
Mailing Address | Practice Location Address |
---|---|
Dr Revathi Iyengar, MD Po Box 100236, Gainesville, FL 32610-0236 Ph: (352) 273-5550 | Dr Revathi Iyengar, MD 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 323-5467 |
Kranthi Boyapati, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582 | |
Dr. Kenneth A. Henschel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10123 Us Highway 441, Leesburg, FL 34788 Phone: 352-426-5012 | |
Dr. Nidsa I Martir Cruz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 26540 Ace Ave Ste H103, Leesburg, FL 34748 Phone: 352-323-0888 Fax: 352-323-9103 | |
Dr. Edgar Alfred Walker Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7500 Fax: 352-360-6582 | |
Dr. Richard B Wallace, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7900 Fax: 352-315-7587 | |
Thomas Valente, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7810 Fax: 352-360-6610 |