Dr Damian Maxwell, MD | |
16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | |
(239) 343-6050 | |
(239) 343-9909 |
Full Name | Dr Damian Maxwell |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 16230 Summerlin Rd Ste 215, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235146481 | NPI | - | NPPES |
P00358613 | Other | WV | RAILROAD MEDICARE |
3810006087 | Medicaid | WV | |
020940500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 22268 (West Virginia) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | ME129852 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
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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 |
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Dr Damian Maxwell, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-6050 | Dr Damian Maxwell, MD 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 Ph: (239) 343-6050 |
Dr. Scott B Patterson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 Phone: 239-343-3474 Fax: 239-343-2968 | |
Joseph Froilan Yurich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15730 New Hampshire Ct, Fort Myers, FL 33908 Phone: 239-481-0033 Fax: 321-966-8322 | |
Dr. Rachel A Titus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075 | |
Dr. Kendrick D Mcarthur, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 | |
Lilly Ann Bayouth, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 13685 Doctors Way Ste 100, Fort Myers, FL 33912 Phone: 239-343-1612 Fax: 239-343-4229 | |
Dr. John Anthony Moss, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-936-8555 Fax: 239-936-5611 | |
Peggy C. Kalkounos, DO Surgery Medicare: Medicare Enrolled Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 |