Beware of 441 Urgent Care on 44

[Chellybean]

Beware of 441 Urgent Care on 44 Run by John S*antos Nurse practitioner ARNP.

This guy is a jerk and has a napoleon complex and error in my visit including billing me for two visits instead of one.
He ordered the wrong test and Medication and was as arrogant as they come. His staff said Dr. S*anotos would be in to see me when in-fact he was a PA.
I got in a verbal argument in his mishandling of my case and his errors. He could careless and defended the errors he made. He also ordered a powerful antibiotic instead of topical healing cream when i did not have any infection and then said it was a very busy day and i did get you the right prescription didn't i, OMG
I called my insurance company and made them aware of the double billing and they said they have had prior problems with this facility.They are now investigating the fraud.
When i complained to the billing director Trenna she had Adam S*antos John S*antos brother call me to rectify the complaint.
I was a little cautious at first, but come to finded out the brothers where severing there partnership and were at war with each other and Adam Clearly said this is one of many complaints he has gotten on his brother and his brother is a arrogant ass*ole with a Napoleon attitude. Adam started the business and made a grave mistake in taking his brother on as a partner and now attorneys are dividing up the business.
Adam S*antos is a caring P.A and runs the 441 urgent care on 466a across the street from McDonald by Lake imaging.
I have been in Adams care before and he is a caring gentleman and i would see him again.
Just a recommendation i would stay away from 441 urgent care on 44 John S*antos runs that one and go to the 441 Urgent care on 466a that Adam S*antos runs.
Good luck in your care:
Also Unova was also a bad facility in there behavior with Dr.
Keri*na, They have finally reorganized that facility and got that jerk inline, i believe he is no longer a part of that facility, the other Doctors there are great.

[runkcrun]

Our BCBS Medicare Advantage plan will not cover any visits to any of the 441 Urgent care sites. Tells you something is not right with them.

[Nucky]

Sorry for your troubles Chellybean. Add another Dud to the list. It's people like you that give TOTV'S it's value. Who knows how many people you have saved from the same fate.

It's getting tougher and tougher to do battle with the billing department at most vendors because many of them use making you wait for an agent as an initial tool to wear you down. It has the opposite effect on me. The more I hear what a valuable customer I am combined with the longer I wait just makes me stronger when I am valued enough to get an English Speaking Agent.

Thanks for the post Chellybean.

[YouNeverKnow]

Our BCBS Medicare Advantage plan will not cover any visits to any of the 441 Urgent care sites. Tells you something is not right with them.
We got a letter from our insurance company saying that “Any services ordered by 441 Urgent Care Center LLC can no longer be covered.”
The letter stated “This provider has been placed on the “preclusion list” by Centers for Medicare and Medicaid Services. Medicare plans are prohibited from Making payments for health care items and services by individuals and entities on the preclusion list.”
It didn’t state any particular 441 location.
I wondered what was going on to cause this and if it’s just one particular location or all 441 locations.

[Chellybean]

We got a letter from our insurance company saying that “Any services ordered by 441 Urgent Care Center LLC can no longer be covered.”
The letter stated “This provider has been placed on the “preclusion list” by Centers for Medicare and Medicaid Services. Medicare plans are prohibited from Making payments for health care items and services by individuals and entities on the preclusion list.”
It didn’t state any particular 441 location.
I wondered what was going on to cause this and if it’s just one particular location or all 441 locations.

Thanks John S*antos for that;
Adam S*antos is trying to correct that for his facility, one person destroyed a business single handily.
unbelievable

[bilcon]

I use FHV Urgent care when I can't get to see my doctor. It is on 441 near golf cart bridge. Wonderful PA and NP. Staff is very friendly.

[queasy27]

Our BCBS Medicare Advantage plan will not cover any visits to any of the 441 Urgent care sites. Tells you something is not right with them.

Yikes! Does the front office staff tell you that when you check in? I'd be pretty horrified if I ended up stuck with the entire bill.

I typically go to the Buffalo Ridge office but the "441" part of the sign has been removed so that it only says Urgent Care. Hopefully that means it's a different company. I haven't been there since I switched to BCBS.

[blueash]

I have no thoughts about the care or the billing you experienced. I do wish to comment on the terms "Doctor" "PA" and "ARNP'

Firstly a PA is a physician assistant. This person did a 4 year college program in any field then a two year PA training program. So 2 years of medical training in total.

APRN is Advanced Practice Registered Nurse. This requires a master's degree in nursing. Most commonly the person got an undergrad degree in nursing but that is not required. The undergrad degree can be in any field but to get the master's degree will then require a few extra science courses. The master's degree is 2 years for most programs. There is also a requirement for clinical experience. Some fields are more intense such as nurse anesthetists.

Compare that training with MD training. Undergrad in any field then 4 years of medical school with about half those 4 years spent in hospital or clinical training. Then at least 3 years of intensive hospital and outpatient training before going into practice. Some fields require much more. Child psychiatry is a five year residency after 4 years of medical school. 9 years post college. That psychiatric NP who "does the same job" , 2 years and I believe 500 clinical hours which is 3 months.

And coming soon, many NP programs are changing the degree being awarded from a Master's degree to a doctorate. So these graduates will now have a doctorate in nursing, no additional work, just a different name for the degree. And when they get introduced to you as a Dr. Jones it will be true but the doctorate will not be in medicine. The time is near when you will need to ask directly whether your doctor is a medical doctor or some other doctorate. If you don't care, that is fine but I can tell you the amount of training difference between that received by an MD and a doctor of nursing is huge. YMMV

[riley2011]

What’s with the asterisks in the names?

[riley2011]

What does FHV stand for?

[gsovas]

Well all,
I have a totally different opinion on the urgent care at 466a which is RUN BY JOHN SANTOS
I have had excellent care, prescribed the right medication, sent others to the same facility with NO ISSUES.

[Rsenholzi]

Yes, Unova is just as bad. They charged me for an MRI that I never had. They argued I had had it when I told them I didn’t - I told them, I needed pre-approval for that procedure and had to go to a verified radiologisT approved by my insurance company. I told them I always use lake Medical or Sands. They finally told me they would have to Check it out. Took months to get the bill straightened out when finally they reluctantly realized I never had an mri there. Would never go back there

[raindrop49]

Beware of 441 Urgent Care on 44 Run by John S*antos Nurse practitioner ARNP.

This guy is a jerk and has a napoleon complex and error in my visit including billing me for two visits instead of one.
He ordered the wrong test and Medication and was as arrogant as they come. His staff said Dr. S*anotos would be in to see me when in-fact he was a PA.
I got in a verbal argument in his mishandling of my case and his errors. He could careless and defended the errors he made. He also ordered a powerful antibiotic instead of topical healing cream when i did not have any infection and then said it was a very busy day and i did get you the right prescription didn't i, OMG
I called my insurance company and made them aware of the double billing and they said they have had prior problems with this facility.They are now investigating the fraud.
When i complained to the billing director Trenna she had Adam S*antos John S*antos brother call me to rectify the complaint.
I was a little cautious at first, but come to finded out the brothers where severing there partnership and were at war with each other and Adam Clearly said this is one of many complaints he has gotten on his brother and his brother is a arrogant ass*ole with a Napoleon attitude. Adam started the business and made a grave mistake in taking his brother on as a partner and now attorneys are dividing up the business.
Adam S*antos is a caring P.A and runs the 441 urgent care on 466a across the street from McDonald by Lake imaging.
I have been in Adams care before and he is a caring gentleman and i would see him again.
Just a recommendation i would stay away from 441 urgent care on 44 John S*antos runs that one and go to the 441 Urgent care on 466a that Adam S*antos runs.
Good luck in your care:
Also Unova was also a bad facility in there behavior with Dr.
Keri*na, They have finally reorganized that facility and got that jerk inline, i believe he is no longer a part of that facility, the other Doctors there are great.
We also got a letter from our insurance company saying that “Any future services ordered by 441 Urgent care (across from Walmart in Summerfield) would not be covered. They paid for our visit then but said no further appointments would be covered.

[mgsteve]

I went to UNOVA urgent care several times and got great care. I like the doctor I saw and didn't have to wait to see him. I drove past the facility this week and saw the name is changed so I assume they no longer have an urgent care practice. Thanks for the heads up on 441 on Rt 44.

[IndianaJones]

What does FHV stand for?

Flórida Heart and Vascular

[kanoa1kale2]

Well all,
I have a totally different opinion on the urgent care at 466a which is RUN BY JOHN SANTOS
I have had excellent care, prescribed the right medication, sent others to the same facility with NO ISSUES.

John Santos has been my primary care physician for 2.5 years now and I've had nothing but positive experiences with him. He continued my meds from my prior location and sent me to proper specialists for followup with some new problems I encountered. The followups have been timely and I've experienced no extra billing of any kind.

[blueash]

John Santos has been my primary care physician for 2.5 years now and I've had nothing but positive experiences with him. He continued my meds from my prior location and sent me to proper specialists for followup with some new problems I encountered. The followups have been timely and I've experienced no extra billing of any kind.

John Santos has never been your primary care physician. He is not a physician. He is not trained to be a physician. He never went to medical school. He is not licensed to be a physician. He is not subject to the ongoing training and education requirements to keep up to date that a physician must follow.

The confusion in identification of the training of the people wearing white coats and carrying a stethoscope is ongoing.

[Cheiro]

Beware of 441 Urgent Care on 44 Run by John S*antos Nurse practitioner ARNP.

This guy is a jerk and has a napoleon complex and error in my visit including billing me for two visits instead of one.
He ordered the wrong test and Medication and was as arrogant as they come. His staff said Dr. S*anotos would be in to see me when in-fact he was a PA.
I got in a verbal argument in his mishandling of my case and his errors. He could careless and defended the errors he made. He also ordered a powerful antibiotic instead of topical healing cream when i did not have any infection and then said it was a very busy day and i did get you the right prescription didn't i, OMG
I called my insurance company and made them aware of the double billing and they said they have had prior problems with this facility.They are now investigating the fraud.
When i complained to the billing director Trenna she had Adam S*antos John S*antos brother call me to rectify the complaint.
I was a little cautious at first, but come to finded out the brothers where severing there partnership and were at war with each other and Adam Clearly said this is one of many complaints he has gotten on his brother and his brother is a arrogant ass*ole with a Napoleon attitude. Adam started the business and made a grave mistake in taking his brother on as a partner and now attorneys are dividing up the business.
Adam S*antos is a caring P.A and runs the 441 urgent care on 466a across the street from McDonald by Lake imaging.
I have been in Adams care before and he is a caring gentleman and i would see him again.
Just a recommendation i would stay away from 441 urgent care on 44 John S*antos runs that one and go to the 441 Urgent care on 466a that Adam S*antos runs.
Good luck in your care:
Also Unova was also a bad facility in there behavior with Dr.
Keri*na, They have finally reorganized that facility and got that jerk inline, i believe he is no longer a part of that facility, the other Doctors there are great.

Thank you for your information on the Urgent Care 441 on Rt.44. I live near there and have used them quite often and they were quite good until the Dr. you mentioned became part of them and my experience now matches yours. I now go to the one you mentioned on 446a even though it is quite out of my way.
Thank you for informing everyone about him.
Best wishes and stay safe.

[airstreamingypsy]

Adam Santos is my primary care "doctor" even though I know he isn't actually a full doctor. I could not be happier with him. I'm sorry to hear the office is having problems, I would hate for my insurance to stop paying him.

[Chellybean]

What’s with the asterisks in the names?

just eliminate it

[Indydealmaker]

Well all,
I have a totally different opinion on the urgent care at 466a which is RUN BY JOHN SANTOS
I have had excellent care, prescribed the right medication, sent others to the same facility with NO ISSUES.

Given the poor Medicare rating, it sounds like you got lucky.

[Chellybean]

Well all,
I have a totally different opinion on the urgent care at 466a which is RUN BY JOHN SANTOS
I have had excellent care, prescribed the right medication, sent others to the same facility with NO ISSUES.

466a is being run by Adam Santos, John runs 44 location just FYI.
Adam is a gentleman John is a arrogant jerk!

[Jclausen]

We went there because they had a sign indicating COVID-19 testing. We went in and no staff wore masks!!! When I mentioned having had the flu in March, I was told it was because I received a flu shot! We turned around and left.

[Chellybean]

John Santos has been my primary care physician for 2.5 years now and I've had nothing but positive experiences with him. He continued my meds from my prior location and sent me to proper specialists for followup with some new problems I encountered. The followups have been timely and I've experienced no extra billing of any kind.

He is not a doctor!

[Texased]

Shoddy, unprofessional medical care is the #1 reason my wife and I are in the process of leaving Florida. We never had to deal with PA's at any other city outside of The Villages. Earlier this year my wife almost died because a PA in The Villages mis-prescribed a medication for her. When I select a physician for my medical plan I fully expect to interact with that specific physician and not a PA. Florida and The Villages is very low nationally rated in medical care, and at our age professional and efficient medical care is very important.

[pathamilton]

I contacted BC/BS PLUS (Medicare Advantage) just now to see if they covered 441 Urgent Care and they said yes. So I am not sure as to why some of you are getting noticed to NOT using them and I did not. I was just at the 441 center on 44th on Sunday, June 14 so I hope I have coverage.
Thanks for the alert!

[allsport]

You really need to get your information correct. The PA today has to have pretty much a premed bachelor's degree and then has a 3 year program that about half of it is spent with an MD learning how to practice, just like interns do.
The NP has a BSN and in a few places they can add years to their schooling if their degree is not in nursing to give them the science that nurses have. The current program is a Doctorate of Nursing Practice which is done in 3+ years with classroom amounting to 2 years and 1 year under the direct supervision of an MD. The reason they have doctorate degrees is that the amount of time they spend in clinical practice far exceeds the amount of time most PhD's spend in their doctoral programs. I managed a massive outpatient program where I had many NP's under my supervision and where money was tied to patient outcomes. My NP's usually exceeded their outcomes in much larger numbers than did the PA's and some MD's in the program. The outcomes were very specific like patient's hypertension within a certain range, blood sugars in a certain range, etc, etc etc. Each of those providers have their place in the medical field and for every example of a bad NP, I can probably give you 10 examples of really bad MDs.

[kendi]

Shoddy, unprofessional medical care is the #1 reason my wife and I are in the process of leaving Florida. We never had to deal with PA's at any other city outside of The Villages. Earlier this year my wife almost died because a PA in The Villages mis-prescribed a medication for her. When I select a physician for my medical plan I fully expect to interact with that specific physician and not a PA. Florida and The Villages is very low nationally rated in medical care, and at our age professional and efficient medical care is very important.

The use of PA's is becoming more prevalent in most if not all states. Don't have to pay them as much as the medical doctors.

[kendi]

Beware of 441 Urgent Care on 44 Run by John S*antos Nurse practitioner ARNP.

This guy is a jerk and has a napoleon complex and error in my visit including billing me for two visits instead of one.
He ordered the wrong test and Medication and was as arrogant as they come. His staff said Dr. S*anotos would be in to see me when in-fact he was a PA.
I got in a verbal argument in his mishandling of my case and his errors. He could careless and defended the errors he made. He also ordered a powerful antibiotic instead of topical healing cream when i did not have any infection and then said it was a very busy day and i did get you the right prescription didn't i, OMG
I called my insurance company and made them aware of the double billing and they said they have had prior problems with this facility.They are now investigating the fraud.
When i complained to the billing director Trenna she had Adam S*antos John S*antos brother call me to rectify the complaint.
I was a little cautious at first, but come to finded out the brothers where severing there partnership and were at war with each other and Adam Clearly said this is one of many complaints he has gotten on his brother and his brother is a arrogant ass*ole with a Napoleon attitude. Adam started the business and made a grave mistake in taking his brother on as a partner and now attorneys are dividing up the business.
Adam S*antos is a caring P.A and runs the 441 urgent care on 466a across the street from McDonald by Lake imaging.
I have been in Adams care before and he is a caring gentleman and i would see him again.
Just a recommendation i would stay away from 441 urgent care on 44 John S*antos runs that one and go to the 441 Urgent care on 466a that Adam S*antos runs.
Good luck in your care:
Also Unova was also a bad facility in there behavior with Dr.
Keri*na, They have finally reorganized that facility and got that jerk inline, i believe he is no longer a part of that facility, the other Doctors there are great.

When someone gets on social media to rant about a business, I always wonder who the problem really is - the business or the ranter. All that emotion clouds perspective, especially when they get into name calling - "napoleon complex and jerk".

[theruizs]

I actually prefer seeing the PA at our primary care Physician’s office. I can relate to him better and he takes more time with me. I do understand he is not an MD and sometimes has to defer to the MD for certain things, but you cannot undervalue a good and trusting relationship with your primary care giver.

[OhioBuckeye]

I cut the end of my thumb off with a potato slicer & bleeded like heck. Went to urgent care a crossed the parking lot from Leesburg hospital. They got it to stop bleeding after making a mess on their floor. I would go there in a heart beat, they were very caring! Silver Nitrate stopped the bleeding instantly but burned like they put a red hot iron on it, but only hurt for a few sec. Just don’t trust a lot of health clinics in TV, sorry!

[charlieo1126@gmail.com]

Shoddy, unprofessional medical care is the #1 reason my wife and I are in the process of leaving Florida. We never had to deal with PA's at any other city outside of The Villages. Earlier this year my wife almost died because a PA in The Villages mis-prescribed a medication for her. When I select a physician for my medical plan I fully expect to interact with that specific physician and not a PA. Florida and The Villages is very low nationally rated in medical care, and at our age professional and efficient medical care is very important. the PA’s are not just in the villages they are everywhere and most of them are pretty good , with the shortage of GP ‘S now and worse in future it’s going to be how the business is , you can always see your doctor but you may have to wait longer and you know we are all in a hurry to get no where here . I am sorry about what happened but it’s seems so typical here to paint with a large brush of criticism when something goes wrong

[rmd2]

I have no thoughts about the care or the billing you experienced. I do wish to comment on the terms "Doctor" "PA" and "ARNP'

Firstly a PA is a physician assistant. This person did a 4 year college program in any field then a two year PA training program. So 2 years of medical training in total.

APRN is Advanced Practice Registered Nurse. This requires a master's degree in nursing. Most commonly the person got an undergrad degree in nursing but that is not required. The undergrad degree can be in any field but to get the master's degree will then require a few extra science courses. The master's degree is 2 years for most programs. There is also a requirement for clinical experience. Some fields are more intense such as nurse anesthetists.

Compare that training with MD training. Undergrad in any field then 4 years of medical school with about half those 4 years spent in hospital or clinical training. Then at least 3 years of intensive hospital and outpatient training before going into practice. Some fields require much more. Child psychiatry is a five year residency after 4 years of medical school. 9 years post college. That psychiatric NP who "does the same job" , 2 years and I believe 500 clinical hours which is 3 months.

And coming soon, many NP programs are changing the degree being awarded from a Master's degree to a doctorate. So these graduates will now have a doctorate in nursing, no additional work, just a different name for the degree. And when they get introduced to you as a Dr. Jones it will be true but the doctorate will not be in medicine. The time is near when you will need to ask directly whether your doctor is a medical doctor or some other doctorate. If you don't care, that is fine but I can tell you the amount of training difference between that received by an MD and a doctor of nursing is huge. YMMV

We have substandard care in this area and now this! Thanks for the heads up. It's really scary.
I have had a couple of bad experiences with health care here. If it's something I am really concerned with I go to Orlando or Shands in Gainsville.

[MandoMan]

Beware of 441 Urgent Care on 44 Run by John S*antos Nurse practitioner ARNP.

This guy is a jerk and has a napoleon complex and error in my visit including billing me for two visits instead of one.
He ordered the wrong test and Medication and was as arrogant as they come. His staff said Dr. S*anotos would be in to see me when in-fact he was a PA.
I got in a verbal argument in his mishandling of my case and his errors. He could careless and defended the errors he made. He also ordered a powerful antibiotic instead of topical healing cream when i did not have any infection and then said it was a very busy day and i did get you the right prescription didn't i, OMG
I called my insurance company and made them aware of the double billing and they said they have had prior problems with this facility.They are now investigating the fraud.
When i complained to the billing director Trenna she had Adam S*antos John S*antos brother call me to rectify the complaint.
I was a little cautious at first, but come to finded out the brothers where severing there partnership and were at war with each other and Adam Clearly said this is one of many complaints he has gotten on his brother and his brother is a arrogant ass*ole with a Napoleon attitude. Adam started the business and made a grave mistake in taking his brother on as a partner and now attorneys are dividing up the business.
Adam S*antos is a caring P.A and runs the 441 urgent care on 466a across the street from McDonald by Lake imaging.
I have been in Adams care before and he is a caring gentleman and i would see him again.
Just a recommendation i would stay away from 441 urgent care on 44 John S*antos runs that one and go to the 441 Urgent care on 466a that Adam S*antos runs.
Good luck in your care:
Also Unova was also a bad facility in there behavior with Dr.
Keri*na, They have finally reorganized that facility and got that jerk inline, i believe he is no longer a part of that facility, the other Doctors there are great.

Thanks for sharing. Forty-five years ago I worked I worked in Africa with a surgeon who accidentally killed three people during the few months I worked with him, twice by sewing peoples’ intestines into their abdominal incision! I did a search last month and discovered that he is 90, in Florida, wealthy, still practicing, and according to the DEA holds the U.S. record for largest number of opioids Purchased for resale to patients: 1,969,000 pills! At least he can’t write narcotics prescriptions anymore.

[Curtisbwp]

Keep your head down. I presume you are not a doctor giveing your opinion on medical care. This kind of language you use will possibly be read by thousands if not tens of thousands of Village people. Your opinion could possibly hurt his livelyhood and status in this area. It potentially borders on SLANDER LAW suits are abundant and you DO NOT want that mess. Please be careful.



Beware of 441 Urgent Care on 44 Run by John S*antos Nurse practitioner ARNP.

This guy is a jerk and has a napoleon complex and error in my visit including billing me for two visits instead of one.
He ordered the wrong test and Medication and was as arrogant as they come. His staff said Dr. S*anotos would be in to see me when in-fact he was a PA.
I got in a verbal argument in his mishandling of my case and his errors. He could careless and defended the errors he made. He also ordered a powerful antibiotic instead of topical healing cream when i did not have any infection and then said it was a very busy day and i did get you the right prescription didn't i, OMG
I called my insurance company and made them aware of the double billing and they said they have had prior problems with this facility.They are now investigating the fraud.
When i complained to the billing director Trenna she had Adam S*antos John S*antos brother call me to rectify the complaint.
I was a little cautious at first, but come to finded out the brothers where severing there partnership and were at war with each other and Adam Clearly said this is one of many complaints he has gotten on his brother and his brother is a arrogant ass*ole with a Napoleon attitude. Adam started the business and made a grave mistake in taking his brother on as a partner and now attorneys are dividing up the business.
Adam S*antos is a caring P.A and runs the 441 urgent care on 466a across the street from McDonald by Lake imaging.
I have been in Adams care before and he is a caring gentleman and i would see him again.
Just a recommendation i would stay away from 441 urgent care on 44 John S*antos runs that one and go to the 441 Urgent care on 466a that Adam S*antos runs.
Good luck in your care:
Also Unova was also a bad facility in there behavior with Dr.
Keri*na, They have finally reorganized that facility and got that jerk inline, i believe he is no longer a part of that facility, the other Doctors there are great.

[Don5154]

John Santos has been my primary care physician for 2.5 years now and I've had nothing but positive experiences with him. He continued my meds from my prior location and sent me to proper specialists for followup with some new problems I encountered. The followups have been timely and I've experienced no extra billing of any kind.

Just asking......How can he be your Primary Care Physician if he’s a PA and not a Doctor ������

[carolfry44]

What does FHV stand for?
Florida Heart & Vascular

[GMIJFI]

Also got a letter from our Humana plan that none of these 441 urgent cares will be covered due to Medicare opting out.

[Ann Sim]

That’s to Bad..Nine years ago I was treated by ADAM SANTOS & found him to be very Professional & Caring..Still to this day if my primary Dr. can’t treat me, I search for ADAM SANTOS ..as I find him to be very caring considerate & professional..He gets right to the diagnosis..Don’t give up on 441 URGENT CARE.Just ask to see ADAM SANTOS !
As the saying goes there always one BAD APPLE in the bunch !!

[yankygrl]

Why are you using * instead of just spelling out the names? Rest of info is great advise BUT I have no clue the real name of the providers...just a suggestion.

[yankygrl]

Keep your head down. I presume you are not a doctor giveing your opinion on medical care. This kind of language you use will possibly be read by thousands if not tens of thousands of Village people. Your opinion could possibly hurt his livelyhood and status in this area. It potentially borders on SLANDER LAW suits are abundant and you DO NOT want that mess. Please be careful.
He is stating what happened to him...that is not slander. If he received poor or improper care WE all need to be aware. Also a PA can not be your primary care provider, they must work with an MD.

[yankygrl]

We have substandard care in this area and now this! Thanks for the heads up. It's really scary.
I have had a couple of bad experiences with health care here. If it's something I am really concerned with I go to Orlando or Shands in Gainsville.
I am a nurse, lived here for 10 years - I have seen so many “pop up” urgent cares and providers it’s scary...you need to do your homework, ask for friends referrals or from your insurance provider. There are many competent providers, you do not have to travel an hour. I have a fabulous PCP here in Lady Lake and if I can’t see him I go to LRUC in Lake Sumter Landing.

[kaydee]

I’d love to have some suggestions for a GOOD primary care physician..my husband really needs to find one. We recently had a bad experience with his current dr that could have had a very bad outcome. Thankfully Ocala Health ER tested, diagnosed & transported my husband to West Marion where he had 2 surgical procedures.
Needless to again say, we need recommendations for GOOD Doctors. Thanks in advance

[JonWilliams]

Medicare & Medicaid maintain a list of practitioners not eligible to submit claims for service. You can find it at Search the Exclusions Database | Office of Inspector General (https://exclusions.oig.hhs.gov/SearchResults.aspx) I ran a search for John Santos, Adam Santos, Santos Urgent Care and 441 Urgent Care LLC and none of them came up.

I've used this clinic for years and been happy with the service. But before I go again I will call them to verify whether they take Medicare and my secondary provider.

[Pinball wizard]

Beware of 441 Urgent Care on 44 Run by John S*antos Nurse practitioner ARNP.

This guy is a jerk and has a napoleon complex and error in my visit including billing me for two visits instead of one.
He ordered the wrong test and Medication and was as arrogant as they come. His staff said Dr. S*anotos would be in to see me when in-fact he was a PA.
I got in a verbal argument in his mishandling of my case and his errors. He could careless and defended the errors he made. He also ordered a powerful antibiotic instead of topical healing cream when i did not have any infection and then said it was a very busy day and i did get you the right prescription didn't i, OMG
I called my insurance company and made them aware of the double billing and they said they have had prior problems with this facility.They are now investigating the fraud.
When i complained to the billing director Trenna she had Adam S*antos John S*antos brother call me to rectify the complaint.
I was a little cautious at first, but come to finded out the brothers where severing there partnership and were at war with each other and Adam Clearly said this is one of many complaints he has gotten on his brother and his brother is a arrogant ass*ole with a Napoleon attitude. Adam started the business and made a grave mistake in taking his brother on as a partner and now attorneys are dividing up the business.
Adam S*antos is a caring P.A and runs the 441 urgent care on 466a across the street from McDonald by Lake imaging.
I have been in Adams care before and he is a caring gentleman and i would see him again.
Just a recommendation i would stay away from 441 urgent care on 44 John S*antos runs that one and go to the 441 Urgent care on 466a that Adam S*antos runs.
Good luck in your care:
Also Unova was also a bad facility in there behavior with Dr.
Keri*na, They have finally reorganized that facility and got that jerk inline, i believe he is no longer a part of that facility, the other Doctors there are great.

I used Dr. Karina, at UNOVA for 2 surgeries last year and found him to have an excellent chair-side manner. He took the time to explain in detail what he found in my knees and showed me the issues on the x-rays. The surgeries (both knees, different procedures) went great and I was up and playing sports in not time flat. Additionally, his PA, Martha, was also excellent.

[kathy1516]

All PAs and ARNPs work under the umbrella of a physician. I prefer them to a doctor every time. They spend more time with you and actually listen to you. They’re knowledgeable and their expertise is outstanding. If your issue is above their heads, they will refer you to a physician or specialist. I trust them more than I do the physicians in Florida. I’ve had ARNPs save my life where the doctor didn’t catch the problem on more than one occasion. I’m a retired RN.

[YouNeverKnow]

Medicare & Medicaid maintain a list of practitioners not eligible to submit claims for service. You can find it at Search the Exclusions Database | Office of Inspector General (https://exclusions.oig.hhs.gov/SearchResults.aspx) I ran a search for John Santos, Adam Santos, Santos Urgent Care and 441 Urgent Care LLC and none of them came up.

I've used this clinic for years and been happy with the service. But before I go again I will call them to verify whether they take Medicare and my secondary provider.
I called my insurance today and they said as of July 30th all of the 441’s are on the Medicare preclusion list and would not be covered. (They said it wasn’t just one specific one since there wasn’t a specific location or doctor named.) Sounds like there is an inconsistency of information about what is really happening after July with these facilities. I hope the information gets verified soon. Good advice to call to verify coverage before you go to one of these facilities.

[Jbarberio]

Must be two John Santos because the one my wife and I have seen, at the 44 urgent care clinic, over the past 5 years is the exact opposite of what you are saying. He has always been cordial and friendly to us and treated our medical condition correctly. I have had no problems with John. Don’t care if he doesn’t get along with his brother.

[hyamsinmiami@aol.com]

My husband was a physician for over thirty years and I am a retired Medical Technologist. We know good health care and I would like to say how happy we have been using 411 Urgent Care at Colony. We moved to the Villages over a year ago and have used Urgent Care at Colony at least five times. We have been impressed with the overall service from the friendly office staff to the medical professionals.

The person who implied that because their advantage plan would not cover the 411 Urgent Care facilities that something was wrong with the facility. They need to understand that it has nothing to do with the facility but it is their Advantage plan ( which is an HMO) that is trying to save money. By restricting medical service they save money and that is the bottom line.

Double billing is a strong accusations- maybe they don’t understand that most visits require a follow up visit or visits. When my husband cut his finger and he needed 8 stitches, he had to go in at least three times to make sure it was healing properly. Going over results is another important reason a person would be asked to come back for an additional appointment. Overall we are very happy that 411 Urgent care is available at Colony.

[jet10s]

I have no thoughts about the care or the billing you experienced. I do wish to comment on the terms "Doctor" "PA" and "ARNP'

Firstly a PA is a physician assistant. This person did a 4 year college program in any field then a two year PA training program. So 2 years of medical training in total.

APRN is Advanced Practice Registered Nurse. This requires a master's degree in nursing. Most commonly the person got an undergrad degree in nursing but that is not required. The undergrad degree can be in any field but to get the master's degree will then require a few extra science courses. The master's degree is 2 years for most programs. There is also a requirement for clinical experience. Some fields are more intense such as nurse anesthetists.

Compare that training with MD training. Undergrad in any field then 4 years of medical school with about half those 4 years spent in hospital or clinical training. Then at least 3 years of intensive hospital and outpatient training before going into practice. Some fields require much more. Child psychiatry is a five year residency after 4 years of medical school. 9 years post college. That psychiatric NP who "does the same job" , 2 years and I believe 500 clinical hours which is 3 months.

And coming soon, many NP programs are changing the degree being awarded from a Master's degree to a doctorate. So these graduates will now have a doctorate in nursing, no additional work, just a different name for the degree. And when they get introduced to you as a Dr. Jones it will be true but the doctorate will not be in medicine. The time is near when you will need to ask directly whether your doctor is a medical doctor or some other doctorate. If you don't care, that is fine but I can tell you the amount of training difference between that received by an MD and a doctor of nursing is huge. YMMV
you are so off base on so many points -- it doesn't pay to even try to explain -- someday you will require a mid-level healthcare provider to SAVE YOUR LIFE AS THAT IS THE WAY HEALTHCARE IS GOING...
'

[Carla B]

you are so off base on so many points -- it doesn't pay to even try to explain -- someday you will require a mid-level healthcare to SAVE YOUR LIFE AS THAT IS THE WAY HEALTHCARE IS GOING...
'

Care to explain why you think the post by Blueash is "off base?" Maybe you quoted the wrong post?

[jet10s]

Care to explain why you think the post by Blueash is "off base?" Maybe you quoted the wrong post?
no I did not criticize the wrong post -- like I SAID -- blueash is wrong on so many explanations of mid-level providers --
their experience, education, protocols, certification, etc. - -- blueash knows not of what she speaks and I don't want to waste my time trying to disprove 90 percent of this post -- just saying -- not my circus - not my monkey --

[dadspet]

I've been to 441 Urgent Care on 44 a few times in the past and have no real complaints. Actually I was very happy there were there and available and I didn't have to wait for hours in the hospital emergency room.

[Brad-tv]

We have been to Urgent Care many times over the last 4 years and Adam Santos is a big part of the reason we always go back. Obviously they can see you immediately and no need to make a appointment and wait for a doctor. He really cares and has genuine concern for your health needs.
Another great note about Urgent Care is you have 2 weeks to come back as many times as you want with no additional charge. We are self pay and do not have health insurance so this is a huge savings.
I haven't met Adams brother but my wife has and is very happy with his bed side manner. I know these guys work really hard and very long hours. I will continue to support their business.

[graciegirl]

you are so off base on so many points -- it doesn't pay to even try to explain -- someday you will require a mid-level healthcare provider to SAVE YOUR LIFE AS THAT IS THE WAY HEALTHCARE IS GOING...
'

Blue Ash IS an M.D. with a stellar reputation. In my opinion he is not off base on any point he made. I have great respect for his medical expertise.

[Kenswing]

no I did not criticize the wrong post -- like I SAID -- blueash is wrong on so many explanations of mid-level providers --
their experience, education, protocols, certification, etc. - -- blueash knows not of what she speaks and I don't want to waste my time trying to disprove 90 percent of this post -- just saying -- not my circus - not my monkey --

What a cop out. You go out of your way to tell someone that they're wrong then won't justify your post by telling us what you don't agree with. Therefore your opinion is rendered worthless.

[kanoa1kale2]

John Santos has never been your primary care physician. He is not a physician. He is not trained to be a physician. He never went to medical school. He is not licensed to be a physician. He is not subject to the ongoing training and education requirements to keep up to date that a physician must follow.

The confusion in identification of the training of the people wearing white coats and carrying a stethoscope is ongoing.

My insurance considers him my primary. Where I lived previously, I had better support from the Advanced PA's than the primary. I don't get all that tied up over terminology, only results. My results here have been very good. Btw, down by Cincinnatti I take it. I worked on a computer system for the city there.

[kanoa1kale2]

He is not a doctor!

Neither is Adam. They both work under a physician. I understand you have issues with John and sorry to hear that. It is not how I've been treated. I have been treated by both Adam and John and have no issues with either of them.

[retiredguy123]

Blue Ash IS an M.D. with a stellar reputation. In my opinion he is not off base on any point he made. I have great respect for his medical expertise.
I wouldn't dispute any of the educational requirements for PAs, NPs, or any other medical providers. But, I view it from a different perspective. I know some people will disagree, but I consider a physican and/or medical doctor as someone who has devoted their life to the practice of medicine and helping people. To most of them that I have known, they are dedicated to continual education, and, even though they make a lot of money, the money part is secondary to their identity and reputation as a "doctor", the person who is in charge and who patients look up to. I don't view non-physican providers as having the same level of dedication. How can someone who is called a physican's "assistant" or "nurse" be compared to a real physican? They may have a lot of training, but they don't have the same level of accountability or reputation at stake as a medical doctor.

[TraceyMooreRN]

I have no thoughts about the care or the billing you experienced. I do wish to comment on the terms "Doctor" "PA" and "ARNP'

Firstly a PA is a physician assistant. This person did a 4 year college program in any field then a two year PA training program. So 2 years of medical training in total.

APRN is Advanced Practice Registered Nurse. This requires a master's degree in nursing. Most commonly the person got an undergrad degree in nursing but that is not required. The undergrad degree can be in any field but to get the master's degree will then require a few extra science courses. The master's degree is 2 years for most programs. There is also a requirement for clinical experience. Some fields are more intense such as nurse anesthetists.

Compare that training with MD training. Undergrad in any field then 4 years of medical school with about half those 4 years spent in hospital or clinical training. Then at least 3 years of intensive hospital and outpatient training before going into practice. Some fields require much more. Child psychiatry is a five year residency after 4 years of medical school. 9 years post college. That psychiatric NP who "does the same job" , 2 years and I believe 500 clinical hours which is 3 months.

And coming soon, many NP programs are changing the degree being awarded from a Master's degree to a doctorate. So these graduates will now have a doctorate in nursing, no additional work, just a different name for the degree. And when they get introduced to you as a Dr. Jones it will be true but the doctorate will not be in medicine. The time is near when you will need to ask directly whether your doctor is a medical doctor or some other doctorate. If you don't care, that is fine but I can tell you the amount of training difference between that received by an MD and a doctor of nursing is huge. YMMV

Actually, A doctorate in nursing- once a ARNP; is approximately one-two more years including 1 year of clinical in your focus field. So, yes, less than a doctor-but not simply a doctorate degree in nursing for "no additional work" not "just a different name for the degree".

[BAT777]

My husband went there & symptoms were coughing feeling weak and sore all over. John Santos sent him home with a prescription for an antibiotic. A few days later he was getting worse so we called and I asked if he may suspect Covid may be the issue & I asked why he wasn't tested on the spot. Within 10 minutes we received a call to go in for testing. Turns out he was positive and I was negative. My point is had they tested him sooner when he had symptoms he could have been treated sooner for it. In the interim ended up going to the ER for further treatment. Unbelievable! Where do they find these PA's

[YouNeverKnow]

My husband went there & symptoms were coughing feeling weak and sore all over. John Santos sent him home with a prescription for an antibiotic. A few days later he was getting worse so we called and I asked if he may suspect Covid may be the issue & I asked why he wasn't tested on the spot. Within 10 minutes we received a call to go in for testing. Turns out he was positive and I was negative. My point is had they tested him sooner when he had symptoms he could have been treated sooner for it. In the interim ended up going to the ER for further treatment. Unbelievable! Where do they find these PA's
First and foremost you are not supposed to just show up at the Urgent Care, ER, or your Doctors office with classic symptoms of possible Covid like your husband exhibited. Every place I have seen has signs on their doors stating that if you are exhibiting symptoms to call your doctor first or the place you are thinking of going to first and let them know! Your husband has now possibly exposed other patients at the Urgent care as well as the staff!! Come on people!! It’s not rocket science!

[BAT777]

I agree 100% the medical care here has gotten so bad. We are considering leaving and moving to a smaller 55 and older community.

[BAT777]

When we called them with symptoms they said to go in. Not once did anyone even suggest it could be Covid!! He said most likely pneumonia and sent us on our way with a prescription. Did not test either of us! We had our masks on!!
Both of us have basically been secluded since end of March being cautious.

[graciegirl]

I agree 100% the medical care here has gotten so bad. We are considering leaving and moving to a smaller 55 and older community.

Most of us who live here have a list of doctors we consult on a regular basis when we are well.

Mine includes a general practioner, dermatologist, cardiologist, and an endocrinologist. At least twice a year, all three of us have blood drawn and a routine visit at our wonderful "regular" doctors office. (Now virtual, not the blood but the visit)

I don't think it is wise to use urgent care for our medical care routinely. As we age we need to be watched for age related illnesses so that they can be treated or prevented.

[gatherer47]

"YOUNEVERKNOW---right blame the victim !

[YouNeverKnow]

"YOUNEVERKNOW---right blame the victim !
So I guess all the signs on the medical offices, dentists, labs etc about not entering if you have symptoms are just a “suggestion?”