Dr William Rodrigo Vivas, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Sanford, Florida. He went to Kent State University College Of Podiatric Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Central Florida Family Health Center, Inc and his current practice location is
4930 E Lake Mary Blvd, Sanford, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 322-8645.
Dr William Rodrigo Vivas is licensed to practice in Florida (license number PO 1733) 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 1053467993.
Healthcare Provider's Profile
| Full Name | Dr William Rodrigo Vivas |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 39 Years |
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| Location | 4930 E Lake Mary Blvd, Sanford, 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. |
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Medical Education and Training:
- Dr William Rodrigo Vivas attended and graduated from Kent State University College Of Podiatric Medicine in 1985
NPI Data:
- NPI Number: 1053467993
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 09/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052508249
- Enrollment ID: I20101214000998
Medical Identifiers
Medical identifiers for Dr William Rodrigo Vivas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053467993 | NPI | - | NPPES |
| 016877500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | PO 1733 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Florida Family Health Center, Inc | 3870519234 | 32 |
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. Dr William Rodrigo Vivas allows following entities to bill medicare on his behalf.
| Provider Name | Central Florida Family Health Center, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740251883
PECOS PAC ID: 3870519234
Enrollment ID: O20051015000027 |
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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. Dr William Rodrigo Vivas 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 |
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Dr William Rodrigo Vivas, DPM
4930 E Lake Mary Blvd,
Sanford, FL 32771-5003
Ph: (407) 322-8645 | Dr William Rodrigo Vivas, DPM
4930 E Lake Mary Blvd,
Sanford, FL 32771-5003
Ph: (407) 322-8645 |
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