Dr Fred Michael Gloth Iii, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Immokalee, Florida. His current practice location is
1441 Heritage Blvd, Immokalee, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 658-3117.
Dr Fred Michael Gloth Iii is licensed to practice in Florida (license number ME111776) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881799831.
Physician's Profile
| Full Name | Dr Fred Michael Gloth Iii |
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| Gender | Male |
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| Speciality | Internal Medicine - Geriatric Medicine |
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| Location | 1441 Heritage Blvd, Immokalee, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881799831
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 10/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 3476560350
- Enrollment ID: I20120410000264
Medical Identifiers
Medical identifiers for Dr Fred Michael Gloth Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881799831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0300X | Internal Medicine - Geriatric Medicine | ME111776 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Fred Michael Gloth Iii allows following entities to bill medicare on his behalf.
| Entity Name | Collier Health Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609827211
PECOS PAC ID: 4183521925
Enrollment ID: O20040210000106 |
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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. Dr Fred Michael Gloth Iii 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 |
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Dr Fred Michael Gloth Iii, MD
1441 Heritage Blvd,
Immokalee, FL 34142-2260
Ph: (239) 658-3117 | Dr Fred Michael Gloth Iii, MD
1441 Heritage Blvd,
Immokalee, FL 34142-2260
Ph: (239) 658-3117 |
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