| Mr Jorge Ballesteros, PA-C | |
|
7824 Lake Underhill Rd, Suite A, Orlando, FL 32822-8201 | |
| (407) 282-2001 | |
| (407) 282-2028 |
| Full Name | Mr Jorge Ballesteros |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 7824 Lake Underhill Rd, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689657066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9103585 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9103585 (Florida) | Primary |
| Entity Name | Integrated Medical Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952533218 PECOS PAC ID: 2668510587 Enrollment ID: O20091113000517 |
| Entity Name | Colmedical Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427525963 PECOS PAC ID: 1153792023 Enrollment ID: O20230201001471 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jorge Ballesteros, PA-C 7824 Lake Underhill Rd, Suite A, Orlando, FL 32822-8201 Ph: (407) 282-2001 | Mr Jorge Ballesteros, PA-C 7824 Lake Underhill Rd, Suite A, Orlando, FL 32822-8201 Ph: (407) 282-2001 |
Valerie Lynn Poirier, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1512 W Colonial Dr, Orlando, FL 32804 Phone: 407-423-1768 |
Lauren C. Meador, PA-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1400 S Orange Ave, Orlando, FL 32806 Phone: 407-648-3800 |
Mrs. Jean Fairchild Blythe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5979 Vineland Rd Ste 101, Orlando, FL 32819 Phone: 407-355-3120 Fax: 407-355-3119 |
Ernest Chi Kong Ng, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 615 E Princeton St Ste 310, Orlando, FL 32803 Phone: 407-303-5781 Fax: 407-303-5794 |
Madison Julia Marcano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 S Orange Ave, Orlando, FL 32806 Phone: 321-843-8010 Fax: 321-843-6330 |
Victoria Jean Treiber, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6057 Lake Pointe Dr Apt 410, Orlando, FL 32822 Phone: 407-952-1903 |
Mr. Morris C Evans, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5881 Turkey Lake Rd, Orlando, FL 32819 Phone: 407-224-2273 Fax: 407-264-6494 |