5353 N FEDERAL HWY STE 400
FORT LAUDERDALE, FL 33308-3244 US Accepts Medicare Payment
PECOS Enrolled
Jose Gustavo Cevallos
Internal Medicine Physician
- FORT LAUDERDALE, FL
- Phone: (954)-938-2843
- Last Updated 1/1/2024
Overview
Jose Gustavo Cevallos is a Internal Medicine Physician in the FORT LAUDERDALE area and has over 19 years of experience. Jose Gustavo Cevallos primary office location is at 5353 N FEDERAL HWY STE 400 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2005 The NPI number is 1922236736 and the information was updated less than a year ago.
Jose Gustavo Cevallos is affiliated with one medical group in the FORT LAUDERDALE area, CANO HEALTH, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| ME114288 | FL |
| U5083 | TX |
| Type/Issuer | Identifier | State |
|---|---|---|
| TEXAS MEDICAL LICENSE | U5083 | TX |
| MEDICAID | 011046600 | FL |
| FLORIDA MEDICAL LICENSE | ME114288 | FL |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | FL | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | TX | N |
Quality Reporting:
|
Accepts Medicare Assignment:
Yes If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount. |
| Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No |
| Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No |
| Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No |
| Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20131107000497 |
| PECOS Individual PAC ID: | 7719112382 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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