Dr Miroslav Rafael Brzobohaty, DO in Fort Myers, FL

Dr Miroslav Rafael Brzobohaty, DO is a medicare enrolled "Internal Medicine" physician in Fort Myers, Florida. His current practice location is 9371 Cypress Lake Dr Ste 12, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 440-6456.

Dr Miroslav Rafael Brzobohaty is licensed to practice in Florida (license number OS17489) 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 1407413636.

Contact Information

	Dr Miroslav Rafael Brzobohaty, DO
	9371 Cypress Lake Dr Ste 12, Fort Myers, FL 33919-4995
	(239) 440-6456
	(239) 236-0337

Map and Direction

Physician's Profile

Full Name	Dr Miroslav Rafael Brzobohaty
Gender	Male
Speciality	Internal Medicine
Location	9371 Cypress Lake Dr Ste 12, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407413636
Provider Enumeration Date: 05/22/2019
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4385009828
Enrollment ID: I20230504003279

Medical Identifiers

Medical identifiers for Dr Miroslav Rafael Brzobohaty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407413636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	OS17489 (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 Miroslav Rafael Brzobohaty allows following entities to bill medicare on his behalf.

Entity Name	Gulf Shore Internal Medicine, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255501268 PECOS PAC ID: 5294746129 Enrollment ID: O20060508000209

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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 Miroslav Rafael Brzobohaty 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
Dr Miroslav Rafael Brzobohaty, DO 7031 Sw 62nd Ave, South Miami, FL 33143-4701 Ph: (305) 284-7761	Dr Miroslav Rafael Brzobohaty, DO 9371 Cypress Lake Dr Ste 12, Fort Myers, FL 33919-4995 Ph: (239) 440-6456

Reviews and Comments

Internal Medicine Doctors in Fort Myers, FL

Anthony A Mcfarlane, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905 Phone: 239-343-9700 Fax: 239-343-9699
Scott Francis Allen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Barkley Cir, Fort Myers, FL 33907 Phone: 239-938-2000
Dr. Jyothsna Priyadarshini Bandaru, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3725 Piazza Dr Apt 202, Fort Myers, FL 33916 Phone: 000-000-0000
Dr. Daniel Morales, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348
Dr. Lazaro Amed Diaz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348
Steven John Voiles, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7381 College Pkwy Ste 110, Fort Myers, FL 33907 Phone: 239-482-1010 Fax: 239-481-1481
Richard A Chazal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 S Health Park Dr, Suite 320, Fort Myers, FL 33908 Phone: 239-343-6350 Fax: 239-343-6358

Dr Miroslav Rafael Brzobohaty, DO - Medicare Internal Medicine in Fort Myers, FL