Ivan L Mazzorana Jr, MD | |
12590 Whitehall Dr Ste 3, Fort Myers, FL 33907-4680 | |
(239) 939-9090 | |
(239) 939-2922 |
Full Name | Ivan L Mazzorana Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 38 Years |
Location | 12590 Whitehall Dr Ste 3, 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 |
---|---|---|---|
1669480653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME00623151 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Coral Hospital | Cape coral, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivan L Mazzorana Jr Md Pa | 5395647754 | 13 |
Entity Name | Ivan L Mazzorana Jr Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790877488 PECOS PAC ID: 5395647754 Enrollment ID: O20040126000086 |
Mailing Address | Practice Location Address |
---|---|
Ivan L Mazzorana Jr, MD 12590 Whitehall Dr, Ste 3, Ft Myers, FL 33907-3620 Ph: (239) 939-9090 | Ivan L Mazzorana Jr, MD 12590 Whitehall Dr Ste 3, Fort Myers, FL 33907-4680 Ph: (239) 939-9090 |
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 |