| Robert T Light, MD | |
|
455 W Warren Ave, Longwood, FL 32750-4038 | |
| (407) 262-2220 | |
| (407) 834-5011 |
| Full Name | Robert T Light |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 26 Years |
| Location | 455 W Warren Ave, Longwood, 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 |
|---|---|---|---|
| 1881677391 | NPI | - | NPPES |
| 010004586 | Medicaid | VA | |
| 121445800 | Medicaid | FL | |
| 136804 | Other | VA | ANTHEM BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101233539 (Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME166560 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hampton Roads Behavioral Health,pc | 9739070780 | 7 |
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | Hampton Roads Behavioral Health,pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356394696 PECOS PAC ID: 9739070780 Enrollment ID: O20040322000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert T Light, MD 455 W Warren Ave, Longwood, FL 32750-4038 Ph: (407) 262-2220 | Robert T Light, MD 455 W Warren Ave, Longwood, FL 32750-4038 Ph: (407) 262-2220 |
Marcial Serrano, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 455 W Warren Ave, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 | |
Dr. James S Mcdonough, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 455 W Warren Ave, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 | |
Dr. Jonathan D Hirschauer, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 455 W Warren Ave, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 | |
Bassam Amawi, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 450 W State Road 434, Longwood, FL 32750 Phone: 386-299-3393 Fax: 386-257-2119 | |
Dr. Suraj Modi, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 455 W Warren Ave, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 | |
Dr. Robert B. Molpus, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 455 W Warren Ave, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 | |
Krishna P Uppu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 455 W Warren Ave Ste 100, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 |