| Diana Revenco, MD | |
|
6919 N Dale Mabry Hwy Ste 125, Tampa, FL 33614-3972 | |
| (813) 497-9661 | |
| (813) 615-8468 |
| Full Name | Diana Revenco |
|---|---|
| Gender | Female |
| Speciality | Interventional Cardiology |
| Experience | 23 Years |
| Location | 6919 N Dale Mabry Hwy Ste 125, Tampa, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386810091 | NPI | - | NPPES |
| 1386810091 | Medicaid | ME | |
| P01138997 | Other | NH | RR MEDICARE |
| 3075998 | Medicaid | NH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Tampa | Tampa, FL | Hospital |
| Adventhealth Carrollwood | Tampa, FL | Hospital |
| Adventhealth North Pinellas | Tarpon springs, FL | Hospital |
| Adventhealth Wesley Chapel | Wesley chapel, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 953 |
| West Florida Cardiovascular Co-management Associates, Llc | 0547538316 | 36 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Entity Name | West Florida Cardiovascular Co-management Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245776004 PECOS PAC ID: 0547538316 Enrollment ID: O20170620001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Revenco, MD 1100 9th Ave, Ms:m4-pfs, Seattle, WA 98101-2756 Ph: (206) 515-5811 | Diana Revenco, MD 6919 N Dale Mabry Hwy Ste 125, Tampa, FL 33614-3972 Ph: (813) 497-9661 |
Chhavi Gupta, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 508 S Habana Ave., Suite 270, Tampa, FL 33609 Phone: 813-388-1732 Fax: 813-864-9292 |
Dr. Luis Leon Alvarado, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Va 111, Tampa, FL 33612 Phone: 813-972-2000 Fax: 813-631-3423 |
Sriprintha Navarathinarajah, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5130 Sunforest Dr Ste 300, Tampa, FL 33634 Phone: 727-824-0780 Fax: 813-514-8891 |
Dr. Olga Kaliebe, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2919 W Swann Ave Ste 105b, Tampa, FL 33609 Phone: 813-392-1900 Fax: 813-392-1901 |
William Dinwoodie, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Mdc 44, Tampa, FL 33612 Phone: 813-745-3980 Fax: 813-745-7229 |
Jason B Klapman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |
Dr. Augustine Enyinna Agocha, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 Medical Park Dr Ste 300, Tampa, FL 33613 Phone: 813-497-9661 Fax: 813-615-8468 |