| Rafael Apontelopez, MD | |
|
400 Health Park Blvd, Attn: Radiology Department, St Augustine, FL 32086-5784 | |
| (904) 819-4398 | |
| (904) 819-4976 |
| Full Name | Rafael Apontelopez |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 400 Health Park Blvd, St Augustine, 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 |
|---|---|---|---|
| 1265400428 | NPI | - | NPPES |
| 052791200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME57512 (Florida) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME57512 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | St Johns Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295897734 PECOS PAC ID: 2365490711 Enrollment ID: O20050112000313 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Apontelopez, MD 400 Health Park Blvd, Attn: Radiology Department, St Augustine, FL 32086-5784 Ph: (904) 819-4398 | Rafael Apontelopez, MD 400 Health Park Blvd, Attn: Radiology Department, St Augustine, FL 32086-5784 Ph: (904) 819-4398 |
Ripp A Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, Attn: St. Johns Radiology Associates, St Augustine, FL 32086 Phone: 904-819-4398 | |
Dr. Edrick Gabriel Lugo Millan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 | |
Ronald J Lewis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 912 Oxford Dr, St Augustine, FL 32084 Phone: 859-967-9758 | |
Dr. Todd Madison Loper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Turin Ter Ste 120, St Augustine, FL 32092 Phone: 904-819-3223 | |
Vivek Bihiri Kalra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 |