| Basant M Farghaly, MD | |
|
3100 Us Highway 1 S Ste 4, St Augustine, FL 32086-6310 | |
| (904) 810-8063 | |
| (904) 621-9230 |
| Full Name | Basant M Farghaly |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 3100 Us Highway 1 S Ste 4, St Augustine, 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 |
|---|---|---|---|
| 1104945872 | NPI | - | NPPES |
| 278175100 | Medicaid | FL | |
| PW879 | Other | FL | MEDICARE HF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME97900 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagler Hospital | Saint augustine, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Basant M Farghaly, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (904) 810-8063 | Basant M Farghaly, MD 3100 Us Highway 1 S Ste 4, St Augustine, FL 32086-6310 Ph: (904) 810-8063 |
Michael Clore Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Health Park Blvd, Suite 327, St Augustine, FL 32086 Phone: 904-825-3606 Fax: 904-825-0753 | |
Dr. Warren George Feldman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084 Phone: 904-824-8088 Fax: 904-826-4105 | |
Dr. Melchor G Barros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Plantation Island Dr S, 102-b, St Augustine, FL 32080 Phone: 904-471-2593 Fax: 904-471-4569 | |
Dr. Walid Omar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite 204, St Augustine, FL 32086 Phone: 217-720-3144 Fax: 904-404-8447 | |
David Alexander Cabezas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 | |
Dr. Eva Villanueva, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd Ste 300, St Augustine, FL 32086 Phone: 904-819-4082 Fax: 904-819-5156 |