| Ricardo Arsenio Revilla, MD | |
|
145 Country Club Dr W, Destin, FL 32541-4437 | |
| (305) 333-8436 | |
| Not Available |
| Full Name | Ricardo Arsenio Revilla |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 145 Country Club Dr W, Destin, 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 |
|---|---|---|---|
| 1326255142 | NPI | - | NPPES |
| 5N986 | Other | AR | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME106166 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Putnam Community Medical Center | Palatka, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 326 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Floridian Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710210695 PECOS PAC ID: 3375682891 Enrollment ID: O20091123000274 |
| Entity Name | Rojas Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790434231 PECOS PAC ID: 2062899776 Enrollment ID: O20220518003136 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Arsenio Revilla, MD 145 Country Club Dr W, Destin, FL 32541-4437 Ph: (305) 333-8436 | Ricardo Arsenio Revilla, MD 145 Country Club Dr W, Destin, FL 32541-4437 Ph: (305) 333-8436 |
Dr. Jeffrey H Lubin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10 Harbor Blvd, #927, Destin, FL 32541 Phone: 570-760-6939 |