Matt Louis Leavitt, DO | |
260 Lookout Pl, Ste 103, Maitland, FL 32751-4485 | |
(407) 373-0700 | |
(407) 333-2140 |
Full Name | Matt Louis Leavitt |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 38 Years |
Location | 260 Lookout Pl, Maitland, 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 |
---|---|---|---|
1821108341 | NPI | - | NPPES |
063702500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | OS5365 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Leavitt Medical Associates Of Florida Inc | 4688579311 | 172 |
Entity Name | Leavitt Medical Associates Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
Mailing Address | Practice Location Address |
---|---|
Matt Louis Leavitt, DO 151 Southhall Ln, Ste 300, Maitland, FL 32751-7176 Ph: (407) 875-2080 | Matt Louis Leavitt, DO 260 Lookout Pl, Ste 103, Maitland, FL 32751-4485 Ph: (407) 373-0700 |
William J Grisaitis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 331 N Maitland Ave, Building A Suite 5, Maitland, FL 32751 Phone: 407-644-9030 Fax: 407-644-9440 | |
Dr. Fahad Shoaib Siddiqui, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 151 Southhall Ln Ste 300, Maitland, FL 32751 Phone: 866-400-3376 | |
Allen Baumal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 151 Southhall Ln, Ste 300, Maitland, FL 32751 Phone: 407-875-2080 Fax: 407-650-3455 | |
Dr. Rajiv Kiran Nathoo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 430 Lake Howell Rd, Maitland, FL 32751 Phone: 407-636-3113 Fax: 407-636-3133 | |
Jay Nguyen, Dermatology Medicare: Medicare Enrolled Practice Location: 151 Southhall Ln Ste 300, Maitland, FL 32751 Phone: 866-400-3376 | |
Amy Elise Witt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 N Maitland Ave, Suite 202, Maitland, FL 32751 Phone: 407-389-2020 Fax: 407-389-2021 |