| Dr Juan Jose Mercado, MD | |
|
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
| (386) 231-3523 | |
| Not Available |
| Full Name | Dr Juan Jose Mercado |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 20 Years |
| Location | 301 Memorial Medical Pkwy, Daytona Beach, 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 |
|---|---|---|---|
| 1922362516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 307544 (Louisiana) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | ME142554 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastro Md Florida, Llc | 2264432558 | 30 |
| Digestive Disease Consultants Pa | 3779554878 | 13 |
| Bay Area Advance Gastroenterology Care Inc | 8921256546 | 4 |
| Entity Name | Digestive Disease Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528045002 PECOS PAC ID: 3779554878 Enrollment ID: O20040803000784 |
| Entity Name | Thakkar Patel & Avalos Md's Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972565612 PECOS PAC ID: 5294755617 Enrollment ID: O20051130000740 |
| Entity Name | Gastro Md Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821167230 PECOS PAC ID: 2264432558 Enrollment ID: O20070111000041 |
| Entity Name | Mid-florida Pathology Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Clinical Laboratory |
| Entity Identifiers | NPI Number: 1265798870 PECOS PAC ID: 7719142686 Enrollment ID: O20120626000588 |
| Entity Name | Bay Area Advance Gastroenterology Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790055457 PECOS PAC ID: 8921256546 Enrollment ID: O20120924000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juan Jose Mercado, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: () - | Dr Juan Jose Mercado, MD 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-3523 |
Christopher D. Ingram, M. D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4127 Fax: 386-254-8265 | |
Dr. Reni A Grimes, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4139 | |
Mr. William P Douglass, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4139 Fax: 386-258-8265 | |
Virendra D Desai, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3523 | |
Dr. Jennifer Maxine Hawkins, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3523 | |
Dr. James E Roberts, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3039 Fax: 386-231-3207 | |
Dr. Douglas Mark Hughes, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Halifx Medical Center, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4139 Fax: 386-425-7898 |