Leo Christopher Derosier, MD | |
2030 Fleischmann Rd, Tallahassee, FL 32308 | |
(850) 219-2000 | |
(850) 877-2138 |
Full Name | Leo Christopher Derosier |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 23 Years |
Location | 2030 Fleischmann Rd, Tallahassee, 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 |
---|---|---|---|
1043425309 | NPI | - | NPPES |
051116213 | Other | AL | BCBS |
128756 | Medicaid | AL | |
051116211 | Other | AL | BCBS |
128741 | Medicaid | AL | |
051116208 | Other | AL | BCBS |
051116209 | Other | AL | BCBS |
128744 | Medicaid | AL | |
128750 | Medicaid | AL | |
05683733 | Medicaid | MS | |
128758 | Medicaid | AL | |
051116212 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME116517 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Plastic Surgery Pa | 4688642085 | 5 |
Tallahassee Memorial Healthcare Inc | 6103724778 | 339 |
Capital Health Plan, Inc, | 6406744077 | 40 |
Entity Name | Capital Health Plan, Inc, |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770688566 PECOS PAC ID: 6406744077 Enrollment ID: O20040305000605 |
Entity Name | Southeastern Plastic Surgery Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801989884 PECOS PAC ID: 4688642085 Enrollment ID: O20040923000265 |
Entity Name | Tallahassee Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790283133 PECOS PAC ID: 6103724778 Enrollment ID: O20180416000253 |
Mailing Address | Practice Location Address |
---|---|
Leo Christopher Derosier, MD 2030 Fleischmann Rd, Tallahassee, FL 32308 Ph: (850) 219-2000 | Leo Christopher Derosier, MD 2030 Fleischmann Rd, Tallahassee, FL 32308 Ph: (850) 219-2000 |
Dr. Herbert B Rubin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1460 Marion Ave, Tallahassee, FL 32303 Phone: 850-222-1108 Fax: 850-224-5522 | |
Dr. John L Williams, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4781 Williams Rd, Tallahassee, FL 32311 Phone: 850-878-1375 Fax: 850-877-5119 | |
Dr. Shawn Michael Weeks, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5000 | |
Dr. John Neal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2910 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-656-2926 Fax: 850-877-7151 | |
Dr. Lawrence D Kaelin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308 Phone: 850-877-8539 Fax: 850-877-6674 | |
Dr. Thomas I Lawhorn Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1911 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-877-8539 Fax: 850-877-6674 |