Ricardo Arsenio Revilla, MD | |
145 Country Club Dr W, Destin, FL 32541-4437 | |
(305) 333-8436 | |
Not Available |
Full Name | Ricardo Arsenio Revilla |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 145 Country Club Dr W, Destin, 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 |
---|---|---|---|
1326255142 | NPI | - | NPPES |
5N986 | Other | AR | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME106166 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital And Medical Center | Tamarac, FL | Hospital |
Putnam Community Medical Center | Palatka, FL | Hospital |
Lake City Medical Center | Lake city, FL | Hospital |
Coral Gables Hospital | Coral gables, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paragon Contracting Services Llc | 3971417825 | 266 |
Paragon Emergency Services Llc | 8628153087 | 214 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Entity Name | Floridian Emergency Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710210695 PECOS PAC ID: 3375682891 Enrollment ID: O20091123000274 |
Entity Name | Suwannee Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669917472 PECOS PAC ID: 1850675612 Enrollment ID: O20170223001003 |
Entity Name | Rojas Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790434231 PECOS PAC ID: 2062899776 Enrollment ID: O20220518003136 |
Entity Name | Emergency Medicine Services Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
Mailing Address | Practice Location Address |
---|---|
Ricardo Arsenio Revilla, MD 145 Country Club Dr W, Destin, FL 32541-4437 Ph: (305) 333-8436 | Ricardo Arsenio Revilla, MD 145 Country Club Dr W, Destin, FL 32541-4437 Ph: (305) 333-8436 |
Dr. Jeffrey H Lubin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10 Harbor Blvd, #927, Destin, FL 32541 Phone: 570-760-6939 |