Premier Medical Group is a medicare enrolled "Family Medicine" provider in Cape Coral, Florida. Their current practice location is
1260 Ne 8th St Ste 110, Cape Coral, Florida. You can reach out to their office (for appointments etc.) via phone at
(239) 573-7988.
Premier Medical Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Premier Medical Group
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174915045.
Healthcare Provider's Profile
| Full Name | Premier Medical Group |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 1260 Ne 8th St Ste 110, Cape Coral, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174915045
- Provider Enumeration Date: 03/02/2015
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335430107
- Enrollment ID: O20160627000114
Medical Identifiers
Medical identifiers for Premier Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174915045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Premier Medical Group acts as a billing entity for following providers:
| Provider Name | Gregory R Sonn |
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| Provider Type | Practitioner - Hospice/palliative Care |
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| Provider Identifiers | NPI Number: 1326144254
PECOS PAC ID: 5890771943
Enrollment ID: I20040628001685 |
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| Provider Name | Tucker Greene |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1023073392
PECOS PAC ID: 9133227028
Enrollment ID: I20070530000388 |
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| Provider Name | Patrick T King |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1306945894
PECOS PAC ID: 4183791643
Enrollment ID: I20130314000147 |
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| Provider Name | Ericka B Nelson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1528054707
PECOS PAC ID: 6800859356
Enrollment ID: I20130419000011 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Premier Medical Group is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Premier Medical Group
1260 Ne 8th St Ste 110,
Cape Coral, FL 33909-3169
Ph: (239) 573-7988 | Premier Medical Group
1260 Ne 8th St Ste 110,
Cape Coral, FL 33909-3169
Ph: (239) 573-7988 |
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