Leonel P Welch Basulto (NPI# 1316970262, PAC ID# 3375446255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316970262 |
| PAC ID by PECOS | 3375446255 |
| Professional Enrollment ID | I20040128001026 |
| Full Name | Leonel P Welch Basulto |
| Address |
2601 Thomas Dr Panama City Beach FL 32408-6222 |
| Phone Number | 8505479991 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101307 | DOCTORS MEMORIAL HOSPITAL |
| 100026 | BAY MEDICAL CENTER SACRED HEART HEALTH SYSTEM |
| 101308 | NORTHWEST FLORIDA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3269 Hwy 90 E, Bonifay, FL 32425-3007 | 8505479991 | |
| 2601 Thomas Dr, Panama City Beach, FL 32408-6222 | 8505479991 | |
| 3607 Roche Ave, Vernon, FL 32462-3358 | 8505352321 |
| Street Address |
2601 THOMAS DR |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip | 32408-6222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Zechariah Welch | Family Medicine | 2601 Thomas Dr, Panama City Beach, FL 32408-6246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D White | Chiropractic | 2427 Thomas Dr, Panama City Beach, FL 32408-5808 | |
| Myra A Reed | Family Medicine | 1814 Thomas Dr, Panama City Beach, FL 32408-5825 | |
| Travis Lee Wiggins | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Hillary L Glenn | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Timothy P Nichols | General Practice | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Marla Gail Denecke | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Donna Nichols | Physical Therapy | 7328 Thomas Dr B, Panama City Beach, FL 32408-7540 |
| City | PANAMA CITY BEACH |
| Zip Code | 32408 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PANAMA CITY BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Leonel P Welch Basulto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.