| Juan Pereira, DO | |
| 
					630 Pasadena Ave S, St Petersburg, FL 33707-2128  | |
| (727) 360-1784 | |
| (727) 360-1823 | 
| Full Name | Juan Pereira | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 630 Pasadena Ave S, St Petersburg, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205410768 | NPI | - | NPPES | 
| 123792000 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | OS21017 (Florida) | Primary | 
| Entity Name | Baycare Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Juan Pereira, DO 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496  | Juan Pereira, DO 630 Pasadena Ave S, St Petersburg, FL 33707-2128 Ph: (727) 360-1784  | 
Nandkishor Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710 Phone: 727-347-2780 Fax: 727-347-5508  | |
Francisco Jesus Rey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709 Phone: 727-202-8140 Fax: 727-202-8252  | |
David A. Weiland Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 Fax: 727-893-6930  | |
Dr. Rakesh Mittal, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709 Phone: 727-527-0797 Fax: 727-528-7703  | |
Dr. Lilian Enyonam Ahiable, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7111 1st Ave S, St Petersburg, FL 33707 Phone: 727-300-2282 Fax: 727-321-2680  | |
Dr. Alia Celeste Sommerville, D.O., MSC. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709 Phone: 727-521-5057 Fax: 727-521-5022  | |
Kayla Marie Worthington, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3520 38th Ave N, St Petersburg, FL 33713 Phone: 727-471-5039 Fax: 727-471-6446  |