Mr Carlos D Amy Vazquez, MD is a medicare enrolled "General Practice" physician in Interlachen, Florida. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Rural Health Care Inc and his current practice location is
1213 State Road 20, Interlachen, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 684-4914.
Mr Carlos D Amy Vazquez is licensed to practice in Florida (license number ACN1030) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417902685.
Physician's Profile
Full Name | Mr Carlos D Amy Vazquez |
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Gender | Male |
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Speciality | General Practice |
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Experience | 22 Years |
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Location | 1213 State Road 20, Interlachen, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Carlos D Amy Vazquez graduated from medical school in 2002
NPI Data:
- NPI Number: 1417902685
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 03/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305855438
- Enrollment ID: I20180502002850
Medical Identifiers
Medical identifiers for Mr Carlos D Amy Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417902685 | NPI | - | NPPES |
15813 | Other | PR | MEDICAL LICENSE |
ACN1030 | Other | FL | FLORIDA MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 15813 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN1030 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Rural Health Care Inc | 7214849520 | 30 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Carlos D Amy Vazquez allows following entities to bill medicare on his behalf.
Entity Name | Rural Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Carlos D Amy Vazquez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Carlos D Amy Vazquez, MD 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-0108 | Mr Carlos D Amy Vazquez, MD 1213 State Road 20, Interlachen, FL 32148-2737 Ph: (386) 684-4914 |
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