Dr Lawrence Richard Black, DO | |
13691 Metro Pkwy, 350, Fort Myers, FL 33912-4327 | |
(239) 768-5313 | |
(239) 768-9559 |
Full Name | Dr Lawrence Richard Black |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 40 Years |
Location | 13691 Metro Pkwy, 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 |
---|---|---|---|
1114035284 | NPI | - | NPPES |
2972830 | Other | FL | CIGNA |
007256700 | Medicaid | FL | |
80628 | Other | FL | BCBS |
15649 | Other | FL | WELLCARE |
4478694 | Other | FL | AETNA |
375522300 | Medicaid | FL | |
P01192863 | Other | FL | RAILROAD MCR |
P304402 | Other | FL | FREEDOM HEALTH |
212724 | Other | FL | AVMED |
80628 | Other | FL | BCBS FL |
P946386 | Other | FL | OPTIMUM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 055736 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
Lee Memorial Hospital | Fort myers, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesiscare Usa Of Florida Llc | 9830082882 | 237 |
Entity Name | Genesiscare Usa Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence Richard Black, DO 2234 Colonial Blvd, Attn: Payer Contracting & Relations, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Dr Lawrence Richard Black, DO 13691 Metro Pkwy, 350, Fort Myers, FL 33912-4327 Ph: (239) 768-5313 |
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 |