Richard M Basaly, MD | |
86 W Underwood St, Orlando, FL 32806-1110 | |
(888) 912-3648 | |
(321) 841-4085 |
Full Name | Richard M Basaly |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 86 W Underwood St, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497983084 | NPI | - | NPPES |
318917 | Medicaid | SC | |
016490700 | Medicaid | FL | |
RHC202 | Medicaid | SC | |
GP4819 | Medicaid | SC |
Entity Name | Orlando Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
---|---|
Richard M Basaly, MD 102 W Pineloch Ave Ste 23, Orlando, FL 32806-6100 Ph: (407) 481-7179 | Richard M Basaly, MD 86 W Underwood St, Orlando, FL 32806-1110 Ph: (888) 912-3648 |
Diana Jaime, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 942 Lake Baldwin Ln, Orlando, FL 32814 Phone: 407-895-8059 | |
Richard Luke Elloway, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7751 Kingspointe Pkwy Ste 114, Orlando, FL 32819 Phone: 407-581-9672 Fax: 407-581-9673 | |
Dr. Cristina P Garcia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2863 S Delaney Ave, Orlando, FL 32806 Phone: 407-843-1620 Fax: 407-843-5243 | |
Dr. Sandra Ivelisse Alvarez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 13800 Veterans Way, Hero Clinic 1f, Orlando, FL 32827 Phone: 407-631-1000 | |
Tayyaba Nadir Tariq, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6320 Old Winter Garden Rd, Orlando, FL 32835 Phone: 407-290-0555 Fax: 407-295-0028 | |
Dr. Keith Allan Campbell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11221 John Wycliffe Blvd, Orlando, FL 32832 Phone: 407-852-3880 Fax: 407-852-3881 | |
Dr. Orlando L Vega, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7727 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-440-3004 Fax: 407-429-3899 |