Dr Juan C Bayolo, MD | |
1565 Saxon Blvd Ste 103, Deltona, FL 32725-5823 | |
(386) 574-1423 | |
(321) 684-5212 |
Full Name | Dr Juan C Bayolo |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 22 Years |
Location | 1565 Saxon Blvd Ste 103, Deltona, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801848478 | NPI | - | NPPES |
101229200 | Medicaid | FL | |
HQ793Z | Other | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 4301113879 (Michigan) | Secondary |
207Q00000X | Family Medicine | 15486 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN247 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pcc Medical Holdings Llc | 0446679468 | 29 |
Entity Name | Pcc Medical Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174167993 PECOS PAC ID: 0446679468 Enrollment ID: O20200924001757 |
Entity Name | Laracuente Healthcare Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184397606 PECOS PAC ID: 2769888627 Enrollment ID: O20210901002521 |
Mailing Address | Practice Location Address |
---|---|
Dr Juan C Bayolo, MD 3131 Egrets Landing Dr, Lake Mary, FL 32746-7419 Ph: (787) 587-6195 | Dr Juan C Bayolo, MD 1565 Saxon Blvd Ste 103, Deltona, FL 32725-5823 Ph: (386) 574-1423 |
Dr. Marilyn Llavona-suarez, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 103, Deltona, FL 32725 Phone: 386-574-1423 Fax: 321-684-5212 | |
Dr. Nela F Ballesteros Moyano, MD General Practice Medicare: Medicare Enrolled Practice Location: 1235 Providence Blvd Ste 7, Deltona, FL 32725 Phone: 386-473-1940 Fax: 844-388-6186 | |
Dr. Leslie K Garcia Rivera, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1235 Providence Blvd Ste G, Deltona, FL 32725 Phone: 386-473-1940 Fax: 844-388-6186 | |
Dr. Gabriel Carlos Ortiz Rivera, General Practice Medicare: Medicare Enrolled Practice Location: 605 Courtland Blvd, Deltona, FL 32738 Phone: 386-320-9990 Fax: 407-732-6288 |