| Dr Jorge L Chavez, MD | |
|
4315 Highland Park Blvd Ste A, Lakeland, FL 33813-1639 | |
| (863) 689-7934 | |
| (813) 657-4274 |
| Full Name | Dr Jorge L Chavez |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 4315 Highland Park Blvd Ste A, Lakeland, 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 |
|---|---|---|---|
| 1396132239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME134859 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
| Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leading Healthcare Pllc | 1850652496 | 38 |
| Scottsdale Inpatient Specialists Plc | 4385021526 | 36 |
| Entity Name | Scottsdale Physicians Group Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689799579 PECOS PAC ID: 8325099385 Enrollment ID: O20050207000876 |
| Entity Name | Leading Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356853691 PECOS PAC ID: 1850652496 Enrollment ID: O20180222002817 |
| Entity Name | Scottsdale Inpatient Specialists Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376286088 PECOS PAC ID: 4385021526 Enrollment ID: O20220510000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jorge L Chavez, MD Po Box 919424, Orlando, FL 32891-0001 Ph: (863) 689-7934 | Dr Jorge L Chavez, MD 4315 Highland Park Blvd Ste A, Lakeland, FL 33813-1639 Ph: (863) 689-7934 |
Danton Manabat Sun, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 | |
Dr. Luis Clyde Favilli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Innovation Dr, Lakeland, FL 33812 Phone: 860-709-1968 Fax: 863-701-2151 | |
Dr. James K Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-284-6800 Fax: 863-687-1033 | |
Alex I Garriga, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813 Phone: 863-644-4547 Fax: 863-701-9453 | |
Dr. Avantica Gondi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803 Phone: 863-210-5640 Fax: 863-210-5716 | |
Dr. Yi Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100 | |
Dr. Melissa Ann Ballengee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 |