Ismael Martin, DO | |
6101 Pine Ridge Rd Fl 3, Naples, FL 34119-3900 | |
(239) 315-7123 | |
(239) 315-7122 |
Full Name | Ismael Martin |
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Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 6101 Pine Ridge Rd Fl 3, Naples, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750353322 | NPI | - | NPPES |
001414630 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 100527 (Wisconsin) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | OS9649 (Florida) | Primary |
Entity Name | Millennium Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Mailing Address | Practice Location Address |
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Ismael Martin, DO 311 9th St N, Suite 100, Naples, FL 34102 Ph: (239) 624-8250 | Ismael Martin, DO 6101 Pine Ridge Rd Fl 3, Naples, FL 34119-3900 Ph: (239) 315-7123 |
Ricardo Martinez, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 851 5th Ave N Ste 102, Naples, FL 34102 Phone: 239-315-7801 Fax: 855-888-3291 | |
Dr. Karen Moss Ezrine, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 762 Regency Reserve Cir, Naples, FL 34119 Phone: 239-354-1998 | |
Dr. Lawrence Kenneth Harris, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2171 Pine Ridge Rd, Suite F, Naples, FL 34109 Phone: 239-566-7425 Fax: 239-593-3430 | |
Dr. Todd D Brodie, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 661 Goodlette Road Suite 104, Naples, FL 34102 Phone: 239-436-3666 Fax: 239-436-3678 | |
Dr. Frank Michael Elterman, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6101 Pine Ridge Rd, Naples, FL 34119 Phone: 239-330-2933 Fax: 855-691-0391 | |
Vincent Charles Bianca Iii, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 9015 Strada Stell Ct, Suite 201, Naples, FL 34109 Phone: 239-597-5638 Fax: 239-597-5628 | |
Catherine Nina Kowal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1855 Veterans Park Dr, Suite 103, Naples, FL 34109 Phone: 239-596-5220 Fax: 239-643-9816 |