| Raul H Tapia, | |
|
11375 Cortez Blvd, Brooksville, FL 34613-5409 | |
| (352) 597-7083 | |
| (352) 597-3095 |
| Full Name | Raul H Tapia |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 45 Years |
| Location | 11375 Cortez Blvd, Brooksville, 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 |
|---|---|---|---|
| 1811002330 | NPI | - | NPPES |
| 035566600 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Petersburg General Hospital | Saint petersburg, FL | Hospital |
| Largo Medical Center | Largo, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Regional Laboratories Pathology Services, Llc | 9133244346 | 124 |
| Entity Name | Holy Cross Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467401877 PECOS PAC ID: 1850298365 Enrollment ID: O20031215000087 |
| Entity Name | Integrated Regional Laboratories Pathology Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942526298 PECOS PAC ID: 9133244346 Enrollment ID: O20100911000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Raul H Tapia, Po Box 741087, Atlanta, GA 30374-1087 Ph: (352) 597-7083 | Raul H Tapia, 11375 Cortez Blvd, Brooksville, FL 34613-5409 Ph: (352) 597-7083 |
Pushpa Allam-nandyala, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 11375 Cortez Blvd, Oak Hill Hospital, Brooksville, FL 34613 Phone: 352-596-6632 | |
Adam Wilfong, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 17240 Cortez Blvd, Brooksville, FL 34601 Phone: 305-544-6050 | |
Kathleen Mobley, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 305-665-4614 | |
Dr. Mercedes Ficarra, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 Fax: 352-597-3095 | |
Mark A T Kranc, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-7083 Fax: 352-597-3095 | |
Dr. Meenakshi Malhotra, M.D. Pathology Medicare: Medicare Enrolled Practice Location: Brooksville Regional Hospital, Dept Pathology, 17240 Cortez Blvd., Brooksville, FL 34605 Phone: 352-544-6050 Fax: 352-688-8822 | |
Loretta D Augustine, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 17240 Cortez Blvd, Brooksville, FL 34601 Phone: 352-544-6050 |