| Leonel P Welch Basulto, MD | |
|
3269 Highway 90, Bonifay, FL 32425-6001 | |
| (850) 547-9991 | |
| (850) 547-9992 |
| Full Name | Leonel P Welch Basulto |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 3269 Highway 90, Bonifay, 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 |
|---|---|---|---|
| 1316970262 | NPI | - | NPPES |
| 266925100 | Medicaid | FL | |
| 201859686 | Other | FL | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 201859686 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Memorial Hospital | Bonifay, FL | Hospital |
| Northwest Florida Community Hospital | Chipley, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Entity Name | Holmes County Hospital Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431702 PECOS PAC ID: 3375557887 Enrollment ID: O20101122001377 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonel P Welch Basulto, MD 3269 Highway 90 East, Bonifay, FL 32425-6001 Ph: (850) 547-9991 | Leonel P Welch Basulto, MD 3269 Highway 90, Bonifay, FL 32425-6001 Ph: (850) 547-9991 |
Ahmad Tariq Ismail, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 East Byrd Ave, Bonifay, FL 32425 Phone: 850-547-4799 Fax: 850-547-2305 | |
Dr. Oliver Martin Hasek Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Hospital Dr, Bonifay, FL 32425 Phone: 850-547-8000 | |
Kyle Vincent Contini, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 Highway 90, Bonifay, FL 32425 Phone: 850-547-9991 Fax: 888-730-6946 | |
Marietta Elise Solomon, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 3269 Highway 90, Bonifay, FL 32425 Phone: 850-547-9991 Fax: 850-547-9992 | |
Osama Shuaib Ismail, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 E Byrd Ave, Bonifay, FL 32425 Phone: 850-547-4799 | |
Patrick L Hawkins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3120 Southride Lane, Bonifay, FL 32425 Phone: 850-547-4440 Fax: 850-547-4441 |