| Leo Enrique Larios, DO | |
|
1 Magnolia Ct, Moultrie, GA 31768-6764 | |
| (229) 502-9769 | |
| Not Available |
| Full Name | Leo Enrique Larios |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 1 Magnolia Ct, Moultrie, Georgia |
| 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 |
|---|---|---|---|
| 1154907517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 99713 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Dorminy Medical Center | Fitzgerald, GA | Hospital |
| Dorminy Medical Center | Fitzgerald, GA | Hospital |
| Southwell Medical, A Campus Of Trmc | Adel, GA | Hospital |
| Southwell Health And Rehabilitation | Adel, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dmc Physician Group Llc | 8628296845 | 20 |
| Tift Regional Health System Inc | 2062745169 | 294 |
| Entity Name | Southland Emergency Medical Services Consolidated, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Dmc Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430020 PECOS PAC ID: 8628296845 Enrollment ID: O20140902000773 |
| Entity Name | Southland Emergency Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
| Entity Name | Southland Cochran Emergency Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
| Entity Name | Southland Bainbridge Hospitalist Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Consolidated Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Enrique Larios, DO 1 Magnolia Ct, Moultrie, GA 31768-6764 Ph: (229) 502-9753 | Leo Enrique Larios, DO 1 Magnolia Ct, Moultrie, GA 31768-6764 Ph: (229) 502-9769 |
Jared Kent Cardwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-502-9782 Fax: 229-891-9567 |
Dr. Christian Gaston Edwards, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3 Hospital Park, Moultrie, GA 31768 Phone: 229-798-9064 Fax: 229-891-9559 |
Lisa Ann Young, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9769 Fax: 928-338-5508 |
Woodwin Michael Weeks, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 |
Dr. Arthur Clifford Marsh, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 S Main St, Moultrie, GA 31768 Phone: 229-985-1334 Fax: 229-891-2508 |
Gary Wade Swartzentruber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Laurel Ct, Moultrie, GA 31768 Phone: 229-891-9016 |
Michael A Kelley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-502-9782 Fax: 229-891-9567 |