Xavier Diego Sevilla, MD | |
712 39th St W, Bradenton, FL 34205 | |
(941) 748-4602 | |
(941) 747-9230 |
Full Name | Xavier Diego Sevilla |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 712 39th St W, Bradenton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760459986 | NPI | - | NPPES |
28272 | Other | FL | WELLCARE |
47209 | Other | FL | BCBS |
301386 | Other | FL | WELLCARE URGENT CARE |
229615 | Other | FL | AMERIGROUP URGENT CARE |
191852 | Other | FL | AMERIGROUP |
1200274 | Other | FL | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME0076653 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Entity Name | Vitalmd Group Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
Mailing Address | Practice Location Address |
---|---|
Xavier Diego Sevilla, MD 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Xavier Diego Sevilla, MD 712 39th St W, Bradenton, FL 34205 Ph: (941) 748-4602 |
Miglena Milenova Kircheva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1515 26th Ave E, Bradenton, FL 34208 Phone: 941-776-8600 | |
Jeffrey Michael White, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4764 E State Road 64, Bradenton, FL 34208 Phone: 941-748-7500 Fax: 941-748-7509 | |
Bindu S. Nair, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1720 Manatee Ave E, Bradenton, FL 34208 Phone: 941-747-4661 Fax: 941-746-5058 | |
Jasmin B Jordan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3501 Cortez Rd W Ste 1, Bradenton, FL 34210 Phone: 941-909-7007 | |
Dr. Johnny Alvarez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3908 9th Ave W, Bradenton, FL 34205 Phone: 941-747-3116 | |
Dr. Jessica Meredith Wishnew, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6040 State Road 70 E Unit B, Bradenton, FL 34203 Phone: 941-366-2273 Fax: 941-953-6500 | |
Danilo Zuniga-pedrianes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 26th Ave E, Bradenton, FL 34208 Phone: 941-708-8600 Fax: 941-708-7645 |