Mario Blanco, MD | |
2100 Prevatt St, Eustis, FL 32726-6130 | |
(352) 308-8903 | |
(352) 460-0785 |
Full Name | Mario Blanco |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 48 Years |
Location | 2100 Prevatt St, Eustis, 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 |
---|---|---|---|
1891754917 | NPI | - | NPPES |
1265798870 | Other | FL | GROUP NPI |
269882000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 90265 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Physicians Foundation Corporation | 0941113294 | 3 |
Digestive Disease Consultants | 1850515040 | 12 |
Entity Name | American Physicians Foundation Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922013754 PECOS PAC ID: 0941113294 Enrollment ID: O20031112000037 |
Entity Name | Gastroenterology Specialist Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336355718 PECOS PAC ID: 0547237778 Enrollment ID: O20040915001159 |
Entity Name | J Robin Atwell Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558557470 PECOS PAC ID: 4284687104 Enrollment ID: O20050302000787 |
Entity Name | N.f.l. Center For Oto-hns Facial Plastic Surgery P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851325781 PECOS PAC ID: 8224061023 Enrollment ID: O20050913000553 |
Entity Name | Michael P. Zahalsky, Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821142142 PECOS PAC ID: 6800829482 Enrollment ID: O20050914000605 |
Entity Name | Citrus Gastroenterology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407853195 PECOS PAC ID: 4284654187 Enrollment ID: O20051206000651 |
Entity Name | Digestive Health Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487929550 PECOS PAC ID: 0547418733 Enrollment ID: O20120912000866 |
Entity Name | Digestive Disease Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710251921 PECOS PAC ID: 1850515040 Enrollment ID: O20191205001480 |
Mailing Address | Practice Location Address |
---|---|
Mario Blanco, MD 2815 Greenbriar Blvd, Wellington, FL 33414-7157 Ph: (561) 204-5455 | Mario Blanco, MD 2100 Prevatt St, Eustis, FL 32726-6130 Ph: (352) 308-8903 |
Dr. Edward Donald Mcdade Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 19045 Lake Swatara Dr, Eustis, FL 32736 Phone: 352-359-7458 | |
Dr. Martin R Austria, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2100 Prevatt St, Eustis, FL 32726 Phone: 352-308-8903 Fax: 352-460-0785 |