Ricardo Andre Declet-bauzo, MD in Tampa, FL

Ricardo Andre Declet-bauzo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tampa, Florida. His current practice location is 1116 W Carmen St Apt 319, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (787) 608-2600.

Ricardo Andre Declet-bauzo is licensed to practice in Florida (license number 166292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588153647.

Contact Information

	Ricardo Andre Declet-bauzo, MD
	1116 W Carmen St Apt 319, Tampa, FL 33606-1302
	(787) 608-2600
	Not Available

Map and Direction

Physician's Profile

Full Name	Ricardo Andre Declet-bauzo
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1116 W Carmen St Apt 319, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588153647
Provider Enumeration Date: 05/04/2018
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1850724402
Enrollment ID: I20240606001772

Medical Identifiers

Medical identifiers for Ricardo Andre Declet-bauzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588153647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	166292 (Florida)	Primary

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. Ricardo Andre Declet-bauzo allows following entities to bill medicare on his behalf.

Entity Name	Mori Bean And Brooks Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317

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. Ricardo Andre Declet-bauzo 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
Ricardo Andre Declet-bauzo, MD 1116 W Carmen St Apt 319, Tampa, FL 33606-1302 Ph: (787) 608-2600	Ricardo Andre Declet-bauzo, MD 1116 W Carmen St Apt 319, Tampa, FL 33606-1302 Ph: (787) 608-2600

Reviews and Comments

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Ricardo Andre Declet-bauzo, MD - Medicare Radiology in Tampa, FL