| Dr Jerry Scott Carroll, MD | |
|
734 N 3rd St, Suite 115, Leesburg, FL 34748-5285 | |
| (352) 365-2583 | |
| (352) 728-6749 |
| Full Name | Dr Jerry Scott Carroll |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 734 N 3rd St, Leesburg, 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 |
|---|---|---|---|
| 1497931406 | NPI | - | NPPES |
| P00986156 | Other | FL | RR MEDICARE RACF |
| P00986170 | Other | FL | RR MEDICARE LMIV |
| 03876000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME109665 (Florida) | Secondary |
| 207RM1200X | Internal Medicine - Magnetic Resonance Imaging (mri) | ME109665 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Medical Imaging And Breast Center At The Villages Llc | 0042116865 | 21 |
| Entity Name | Lake Medical Imaging And Breast Center At The Villages Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770541633 PECOS PAC ID: 0042116865 Enrollment ID: O20031211000187 |
| Entity Name | Radiology Associates Of Central Florida L L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184689127 PECOS PAC ID: 7214833003 Enrollment ID: O20031211000531 |
| Entity Name | Hem Onc Associates Of The Treasure Coast, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205882867 PECOS PAC ID: 2961416136 Enrollment ID: O20060127000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Scott Carroll, MD 734 N 3rd St, Suite 115, Leesburg, FL 34748-5285 Ph: (352) 365-2583 | Dr Jerry Scott Carroll, MD 734 N 3rd St, Suite 115, Leesburg, FL 34748-5285 Ph: (352) 365-2583 |
Amy Reyes Arnaldy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 32845 Radio Rd, Leesburg, FL 34788 Phone: 352-343-0181 | |
Ronnie Sabbah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 E Dixie Ave, Leesburg, FL 34748 Phone: 352-530-2256 Fax: 352-414-4638 | |
Dr. Marays Veliz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 1001, Leesburg, FL 34748 Phone: 352-787-9448 Fax: 352-787-3250 | |
Mrs. Lourdes M Mathew, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 732 North Third Street, Leesburg, FL 31748 Phone: 352-728-2532 Fax: 352-728-3004 | |
Miguel A Gonzalez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 33025 Professional Drive, Leesburg, FL 34788 Phone: 352-314-2999 Fax: 352-314-2666 | |
Bogdan Gogioiu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Dr. Dante Vito Nuzzo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26540 Ace Ave Ste H103, Leesburg, FL 34748 Phone: 352-323-4800 Fax: 352-323-9103 |