Ileana Bascuas, PHD | |
725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | |
(863) 494-1242 | |
(863) 491-0466 |
Full Name | Ileana Bascuas |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 45 Years |
Location | 725 N 12th Ave Bldg B, Arcadia, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174624589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY5016 (Florida) | Secondary |
103T00000X | Psychologist | PY5016 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Center Of Revitalizing Psychiatry, P.c. | 0648239988 | 33 |
Entity Name | Mcr Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
Entity Name | Center Of Revitalizing Psychiatry, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356497960 PECOS PAC ID: 0648239988 Enrollment ID: O20120508000536 |
Mailing Address | Practice Location Address |
---|---|
Ileana Bascuas, PHD Po Box 22197, Sarasota, FL 34276-5197 Ph: (941) 809-4091 | Ileana Bascuas, PHD 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 Ph: (863) 494-1242 |
Dr. Michael J. Bachop, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 941-776-4000 | |
Dr. Dallas Carey, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Arnise Lanell Johnson, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Dr. Lornitta F Williams-sylvester, PSY.D., R.N Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 963-491-0466 | |
Amanda Waggoner, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Dr. Nicole M Whitt, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 |