Dr Eugene Vladimir Ermolovich, MD | |
507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | |
(239) 424-2030 | |
(239) 343-4116 |
Full Name | Dr Eugene Vladimir Ermolovich |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 8 Years |
Location | 507 Del Prado Blvd S, Cape Coral, 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 |
---|---|---|---|
1548614589 | NPI | - | NPPES |
110688400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME150099 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Coral Hospital | Cape coral, FL | Hospital |
Lee Memorial Hospital | Fort myers, FL | Hospital |
Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
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 |
---|---|
Dr Eugene Vladimir Ermolovich, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-2030 | Dr Eugene Vladimir Ermolovich, MD 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 Ph: (239) 424-2030 |
Jaqueline Sousa Carvalho, FNP-BC Urology Medicare: Not Enrolled in Medicare Practice Location: 1206 Country Club Blvd, Cape Coral, FL 33990 Phone: 239-226-2727 | |
Mark A. Mintz, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 507 Del Prado Boulevard, Cape Coral, FL 33990 Phone: 239-772-0500 Fax: 239-772-3076 | |
James D Borden, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 507 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2030 Fax: 239-343-4116 | |
Kelly Johnson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2489 Diplomat Pkwy E, Cape Coral, FL 33909 Phone: 239-652-1800 | |
William P. Evans, MD Urology Medicare: Medicare Enrolled Practice Location: 507 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-0500 Fax: 239-772-3076 | |
Paul R. Bretton, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 507 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-0500 Fax: 239-772-3076 |