Jesus Rafael Pichardo, MD | |
1130 S Semoran Blvd, Orlando, FL 32807-1457 | |
(407) 382-1376 | |
(321) 235-3232 |
Full Name | Jesus Rafael Pichardo |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 37 Years |
Location | 1130 S Semoran Blvd, Orlando, 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 |
---|---|---|---|
1922083948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN320 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Medical Associates Of Florida Healthcare, Pa | 6800200940 | 59 |
Entity Name | Premier Medical Associates All Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829442 PECOS PAC ID: 2365418019 Enrollment ID: O20041026000956 |
Entity Name | Orlando Family Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568563187 PECOS PAC ID: 0749226439 Enrollment ID: O20050705000200 |
Entity Name | Premier Medical Associates Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366046179 PECOS PAC ID: 1557773413 Enrollment ID: O20201217000613 |
Entity Name | Premier Medical Associates Of Florida Healthcare, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023612827 PECOS PAC ID: 6800200940 Enrollment ID: O20210201000388 |
Mailing Address | Practice Location Address |
---|---|
Jesus Rafael Pichardo, MD 6900 Tavistock Lakes Blvd Ste 300, Orlando, FL 32827-7592 Ph: (321) 758-2966 | Jesus Rafael Pichardo, MD 1130 S Semoran Blvd, Orlando, FL 32807-1457 Ph: (407) 382-1376 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste Bandc, Orlando, FL 32807 Phone: 407-382-1376 Fax: 321-235-3232 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 7620 Lake Underhill Rd, Orlando, FL 32822 Phone: 321-235-0692 Fax: 321-235-0694 | |
Osmany Lazaro Rodriguez Herrada, MD General Practice Medicare: Medicare Enrolled Practice Location: 811 N Nowell St, Orlando, FL 32808 Phone: 407-259-2383 Fax: 407-363-3884 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |