| Dr Carlos A Leon, MD | |
|
2300 Park Avenue, Suite 101-b, Orange Park, FL 32073-5072 | |
| (904) 264-0088 | |
| (904) 264-0099 |
| Full Name | Dr Carlos A Leon |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 46 Years |
| Location | 2300 Park Avenue, Orange Park, 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 |
|---|---|---|---|
| 1679576870 | NPI | - | NPPES |
| 100724 | Other | FL | AVMED |
| 2006421 | Other | FL | AETNA |
| 00424135A | Medicaid | GA | |
| 062517500 | Medicaid | FL | |
| 08605 | Other | FL | BCBS |
| 814095 | Other | GA | BCBS |
| 00424135C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME56274 (Florida) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 023844 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 255 |
| Cardiology Interpreters Inc | 7911033220 | 12 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Entity Name | Cardiology Interpreters Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477887149 PECOS PAC ID: 7911033220 Enrollment ID: O20100325000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlos A Leon, MD 2300 Park Avenue, Suite 101-b, Orange Park, FL 32073-5072 Ph: (904) 264-0088 | Dr Carlos A Leon, MD 2300 Park Avenue, Suite 101-b, Orange Park, FL 32073-5072 Ph: (904) 264-0088 |
Payal Paresh Patel Shooliz, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 102, Orange Park, FL 32073 Phone: 904-215-2510 Fax: 904-215-1515 | |
Mark Anthony Stawara, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 | |
Eugene H Mccoskey, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave Ste 404, Orange Park, FL 32073 Phone: 904-441-1111 Fax: 904-441-1111 | |
Dr. Nadeem Maalouli, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-0600 Fax: 904-213-0303 | |
Louis Giovanni Ramirez Lopez, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 | |
Omer Ismaeel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave Ste 1, Orange Park, FL 32073 Phone: 904-368-6809 | |
Shradha Pokharel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 |