Connor Mech Montgomery, | |
636 Del Prado Blvd S, Cape Coral, FL 33990-2695 | |
(239) 424-3513 | |
(239) 424-4039 |
Full Name | Connor Mech Montgomery |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 636 Del Prado Blvd S, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093392839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME167544 (Florida) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Connor Mech Montgomery, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-3513 | Connor Mech Montgomery, 636 Del Prado Blvd S, Cape Coral, FL 33990-2695 Ph: (239) 424-3513 |
Tucker Greene, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 | |
Dr. Tyler Charles Ensley, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Cape Coral Hospital, 636 Del Prado Blvd, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 | |
Alan B Claunch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 Fax: 239-574-0269 | |
Timothy Dougherty, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 | |
Dr. Michael C Haupt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 Phone: 239-574-2644 Fax: 239-574-1451 | |
Kurt Mueller, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 636 Del Prado Blvd S, 1030, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 |