Cameron Lee Nicholson, MD | |
22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980-2005 | |
(941) 235-4900 | |
(941) 235-4901 |
Full Name | Cameron Lee Nicholson |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 22 Years |
Location | 22655 Bayshore Rd Ste 110, Port Charlotte, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932370681 | NPI | - | NPPES |
000452700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME102793 (Florida) | Primary |
208000000X | Pediatrics | 57.006511 (Ohio) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lee Memorial Health System | 8729996608 | 1073 |
Entity Name | Lee Memorial Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Mailing Address | Practice Location Address |
---|---|
Cameron Lee Nicholson, MD P.o. Box 2147, Ft Myers, FL 33902-2147 Ph: (239) 343-5553 | Cameron Lee Nicholson, MD 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980-2005 Ph: (941) 235-4900 |
Dr. Mary C Sokoloski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Sandra Hegarty, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy, #500, Port Charlotte, FL 33980 Phone: 239-344-2325 Fax: 941-764-6176 | |
Dr. Viraine S Weerasooriya, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Aslam Hyder Qureshi, Pediatrics Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Mr. Luis Ramon Rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2484 Caring Way, Suite D, Port Charlotte, FL 33952 Phone: 941-625-1999 Fax: 941-625-4600 | |
Dr. Ebenezer Kuma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3406 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-625-4919 Fax: 941-625-5516 | |
Dr. Shahzaib Mirza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy Ste 500, Port Charlotte, FL 33980 Phone: 393-442-3252 Fax: 941-764-6176 |