Gregorio S Santos Md Pa is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Kenneth City, Florida. The current practice location for Gregorio S Santos Md Pa is 6125 54th Ave N Ste B, Kenneth City, Florida. For appointments, you can reach them via phone at
(727) 521-9467. The mailing address for Gregorio S Santos Md Pa is 6125 54th Ave N Ste B, Kenneth City, Florida and phone number is (727) 521-9467.
Gregorio S Santos Md Pa is licensed to practice in Florida (license number ME0072417). The clinic also participates in the medicare program and its
NPI number is 1306156104. 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
(727) 521-9467.
Primary Care Clinic Profile
| Full Name | Gregorio S Santos Md Pa |
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| Speciality | Clinic/Center |
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| Location | 6125 54th Ave N Ste B, Kenneth City, Florida |
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| Authorized Official Name and Position | Gregorio S Santos (OWNER) |
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| Authorized Official Contact | 7275219467 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Gregorio S Santos Md Pa
6125 54th Ave N Ste B
Kenneth City
FL 33709-1830
Ph: (727) 521-9467 | Gregorio S Santos Md Pa
6125 54th Ave N Ste B
Kenneth City
FL 33709-1830
Ph: (727) 521-9467 |
NPI Details:
| NPI Number | 1306156104 |
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| Provider Enumeration Date | 10/14/2010 |
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| Last Update Date | 11/28/2012 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6507018678 |
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| Medicare Enrollment ID | O20121219000078 |
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Medical Identifiers
Medical identifiers for Gregorio S Santos Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306156104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | ME0072417 (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.
Gregorio S Santos Md Pa acts as a billing entity for following providers:
| Provider Name | Gregorio Samuel Santos |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1417060369
PECOS PAC ID: 9436119591
Enrollment ID: I20041013000437 |
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