Dr Jon Brillman, MD | |
13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | |
(239) 343-1290 | |
(239) 343-4008 |
Full Name | Dr Jon Brillman |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 57 Years |
Location | 13782 Plantation Rd Ste 201, Fort Myers, 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 |
---|---|---|---|
1598765372 | NPI | - | NPPES |
0006234560003 | Medicaid | PA | |
0270880 | Medicaid | OH | |
0006234560004 | Medicaid | PA | |
0206609000 | Medicaid | WV | |
001644200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD-010476-E (Pennsylvania) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME102388 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lee Memorial Hospital | 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 Jon Brillman, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-1290 | Dr Jon Brillman, MD 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 Ph: (239) 343-1290 |
Stanley Garken Lue, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 Fax: 239-208-3994 | |
Felix Gabriel Rivera - Perez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Ellie Frazey, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Dr. Mark Adam Giordano, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 Phone: 239-343-9180 Fax: 239-343-9188 | |
Gustavo Silveira E Silva, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2206 | |
Rachel Elizabeth Carlin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Dr. Deepa Vaduthalakuzhy Luka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908 Phone: 239-343-6050 Fax: 239-343-6051 |