| Mario Blanco, MD | |
|
2100 Prevatt St, Eustis, FL 32726-6130 | |
| (352) 308-8903 | |
| (352) 460-0785 |
| Full Name | Mario Blanco |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 49 Years |
| Location | 2100 Prevatt St, Eustis, 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 |
|---|---|---|---|
| 1891754917 | NPI | - | NPPES |
| 1265798870 | Other | FL | GROUP NPI |
| 269882000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 90265 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Digestive Disease Consultants | 1850515040 | 12 |
| Entity Name | American Physicians Foundation Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922013754 PECOS PAC ID: 0941113294 Enrollment ID: O20031112000037 |
| Entity Name | Gastroenterology Specialist Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336355718 PECOS PAC ID: 0547237778 Enrollment ID: O20040915001159 |
| Entity Name | J Robin Atwell Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558557470 PECOS PAC ID: 4284687104 Enrollment ID: O20050302000787 |
| Entity Name | N.f.l. Center For Oto-hns Facial Plastic Surgery P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851325781 PECOS PAC ID: 8224061023 Enrollment ID: O20050913000553 |
| Entity Name | Michael P. Zahalsky, Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821142142 PECOS PAC ID: 6800829482 Enrollment ID: O20050914000605 |
| Entity Name | Citrus Gastroenterology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407853195 PECOS PAC ID: 4284654187 Enrollment ID: O20051206000651 |
| Entity Name | Digestive Health Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487929550 PECOS PAC ID: 0547418733 Enrollment ID: O20120912000866 |
| Entity Name | Digestive Disease Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710251921 PECOS PAC ID: 1850515040 Enrollment ID: O20191205001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Blanco, MD 2815 Greenbriar Blvd, Wellington, FL 33414-7157 Ph: (561) 204-5455 | Mario Blanco, MD 2100 Prevatt St, Eustis, FL 32726-6130 Ph: (352) 308-8903 |
Dr. Edward Donald Mcdade Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 19045 Lake Swatara Dr, Eustis, FL 32736 Phone: 352-359-7458 | |
Dr. Martin R Austria, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2100 Prevatt St, Eustis, FL 32726 Phone: 352-308-8903 Fax: 352-460-0785 |