| Stephen Daniel Decarlo, PA-C | |
|
1011 Cross Cut Way, Longwood, FL 32750-3078 | |
| (407) 461-2560 | |
| Not Available |
| Full Name | Stephen Daniel Decarlo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1011 Cross Cut Way, 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 |
|---|---|---|---|
| 1588951057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc | Annapolis, MD | Hospital |
| University Of Md Capital Region Medical Center | Upper marlboro, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 540 |
| Dimensions Healthcare Associates, Inc | 1557269743 | 198 |
| Entity Name | Luminis Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Entity Name | University of Maryland St Joseph Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Daniel Decarlo, PA-C 4563 Mountain Rd, Pasadena, MD 21122-5326 Ph: (407) 461-2560 | Stephen Daniel Decarlo, PA-C 1011 Cross Cut Way, Longwood, FL 32750-3078 Ph: (407) 461-2560 |
Mr. Thomas Corkery Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2290 N Ronald Reagan Blvd Ste 116, Longwood, FL 32750 Phone: 407-215-0095 |
Michael Lee Sampson, ARNP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 W State Road 434, Ste 203, Longwood, FL 32750 Phone: 407-265-7775 Fax: 407-265-2266 |
Brianna Franklin-ross, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 407-767-1200 |
Alyssa Mariah Gilman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2160 W Sr 434 Ste 1500, Longwood, FL 32779 Phone: 407-862-3400 |
Bruce Wagner, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1410 Canal Point Rd, Longwood, FL 32750 Phone: 407-832-2955 Fax: 407-339-2955 |
Connor J Mcvey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 455 W Warren Ave, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 |
Amjad A Shaikh, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 W Sr 434 Ste 3010, Longwood, FL 32750 Phone: 407-767-8200 Fax: 407-339-1200 |