Patricia Bedoya, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0019743 Issued in FL

Practice address

183 NW Gwen Lake Ave
Lake City, FL 32055-3711

Phone

(386) 752-0442

Fax

(386) 719-4752

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M Patricia Bedoya MD

  • Family Medicine Physician
  • Lake City, FL
  • NPI 1538558119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1548212400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 NW GWEN LAKE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553711",
            "telephone_number": "386-752-0442",
            "fax_number": "386-719-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 NW GWEN LAKE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553711",
            "telephone_number": "386-752-0442",
            "fax_number": "386-719-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOYA",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0019743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "12040",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Deason Beck, PHARMD
• Roger Gary Beck, DPM
• Bedoya Eye Care P a
• Ricardo Bedoya-Garcia, MD
• Eduardo Bedoya, MD
• Begum Internal Medicine LLC
• Behavioral Learning Systems, Inc.
• Crystal Bell
• Desma Leslie Bell
• Jessica Bell, PA-C

• Family Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.