Victor E De Loach, MD in Sarasota, FL - Medicare General Practice

Victor E De Loach, MD is a medicare enrolled "General Practice" physician in Sarasota, Florida. His current practice location is 5045 Fruitville Rd Unit 123b, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 203-4613.

Victor E De Loach is licensed to practice in Florida (license number ME78151) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982693123.

Contact Information

	Victor E De Loach, MD
	5045 Fruitville Rd Unit 123b, Sarasota, FL 34232-2269
	(772) 203-4613
	(727) 290-4383

Map and Direction

Physician's Profile

Full Name	Victor E De Loach
Gender	Male
Speciality	General Practice
Location	5045 Fruitville Rd Unit 123b, Sarasota, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982693123
Provider Enumeration Date: 10/20/2005
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9133178825
Enrollment ID: I20050120000206

Medical Identifiers

Medical identifiers for Victor E De Loach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982693123	NPI	-	NPPES
022825500	Medicaid	FL
131855	Medicaid	AL
5474634	Other	FL	AETNA
58949	Other	FL	FLORIDA BLUE
132989	Medicaid	AL
266278	Other	FL	AVMED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD.19935 (Alabama)	Secondary
207V00000X	Obstetrics & Gynecology	78151 (Florida)	Secondary
208D00000X	General Practice	ME78151 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Victor E De Loach allows following entities to bill medicare on his behalf.

Entity Name	Florida Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851518211 PECOS PAC ID: 9931017126 Enrollment ID: O20040515000037

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victor E De Loach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Victor E De Loach, MD 782 Plymouth St Unit 12, Holbrook, MA 02343-1952 Ph: () -	Victor E De Loach, MD 5045 Fruitville Rd Unit 123b, Sarasota, FL 34232-2269 Ph: (772) 203-4613

Reviews and Comments

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Victor E De Loach, MD - Medicare General Practice in Sarasota, FL