VICTOR E. DE LOACH M.D.
NPI 1982693123
General Practice in Sarasota, FL
- Individual
- Male
- General Practice
- Accepts Insurance
- PECOS Enrolled
About VICTOR DE LOACH
This page provides the complete NPI Profile along with additional information for Victor De Loach, a primary care provider established in Sarasota, Florida with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1982693123 assigned on October 2005. The practitioner's primary taxonomy code is 208D00000X with license number ME78151 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1982693123 Verify this NPI
- Provider Name
- VICTOR E. DE LOACH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5045 FRUITVILLE RD UNIT 123B SARASOTA, FL 34232
- Location Phone
- (772) 203-4613
- Location Fax
- (727) 290-4383
- Mailing Address
- 782 PLYMOUTH ST UNIT 12 HOLBROOK, MA 02343
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-20-2005
- Last Update Date
- 06-22-2021
- Code Navigator
A primary care provider (PCP) like Victor De Loach sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME78151
- License State
- FL
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD.19935 (AL) |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 78151 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Enhanced 895 - HMO
- Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
- Molina Gold Enhanced 895 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Access - HMO
- Molina Silver Access Plus with Adult Dental and Vision - HMO
- Molina Silver Access Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 022825500 | MEDICAID (05) | FL | |
| 131855 | MEDICAID (05) | AL | |
| 132989 | MEDICAID (05) | AL | |
| 5474634 | OTHER (01) | FL | AETNA |
| 58949 | OTHER (01) | FL | FLORIDA BLUE |
| 266278 | OTHER (01) | FL | AVMED |
Medicare Participation & PECOS Enrollment Status
Victor De Loach is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982693123, enumerated as an "individual" on October 20, 2005.
The provider is located at 5045 FRUITVILLE RD UNIT 123B SARASOTA, FL 34232 and the phone number is (772) 203-4613.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Molina Healthcare, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.
