<unavail> in Lakeland, FL - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Lakeland, Florida. The current practice location for is 3650 Innovation Dr, Lakeland, Florida. For appointments, you can reach them via phone at (863) 646-6295. The mailing address for is 6675 Westwood Blvd, Ste 475, Orlando, Florida and phone number is (407) 845-0330.

is licensed to practice in Florida (license number ME0056610). The clinic also participates in the medicare program and its NPI number is 1336321835. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (863) 646-6295.

Contact Information


	3650 Innovation Dr Lakeland FL 33812-4105
	(863) 646-6295
	(863) 701-2151

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	3650 Innovation Dr, Lakeland, Florida
Authorized Official Name and Position	Luis C Favilli (FAMILY PRACTICE)
Authorized Official Contact	8632857171
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6675 Westwood Blvd Ste 475 Orlando FL 32821-8061 Ph: (407) 845-0330	3650 Innovation Dr Lakeland FL 33812-4105 Ph: (863) 646-6295

NPI Details:

NPI Number	1336321835
Provider Enumeration Date	11/27/2007
Last Update Date	04/27/2017

Medicare PECOS Information:

Medicare PECOS PAC ID	8123102704
Medicare Enrollment ID	O20080220000501

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336321835	NPI	-	NPPES
E49325	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME0056610 (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. acts as a billing entity for following providers:

Provider Name	Luis C Favilli
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1013912625 PECOS PAC ID: 8820172406 Enrollment ID: I20080227000289

Reviews and Comments

Family Medicine in Lakeland, FL

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- Medicare Primary Care in Lakeland, FL