Dr Kyle Matthew Waisanen, MD | |
8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905-7809 | |
(239) 396-8930 | |
(239) 396-8932 |
Full Name | Dr Kyle Matthew Waisanen |
---|---|
Gender | Male |
Speciality | Urology |
Location | 8931 Colonial Center Dr Ste 401, 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 |
---|---|---|---|
1033616909 | NPI | - | NPPES |
118384100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME162353 (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 |
---|---|
Dr Kyle Matthew Waisanen, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 968-9303 | Dr Kyle Matthew Waisanen, MD 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905-7809 Ph: (239) 396-8930 |
Barry F Blitz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774 | |
Dr. Joseph Clair Klink, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932 | |
Scott Raymond Caesar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905 Phone: 239-458-1196 Fax: 239-458-1345 | |
Brett Michael Giblin, Urology Medicare: Medicare Enrolled Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117 | |
Dr. David S Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-533-5177 Fax: 239-322-5610 | |
Bert F Van Beever, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774 |