Jack G Beaulieu, MD | |
657 Del Prado Blvd S, Cape Coral, FL 33990-2666 | |
(239) 772-4484 | |
(239) 772-2903 |
Full Name | Jack G Beaulieu |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 657 Del Prado Blvd S, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528064086 | NPI | - | NPPES |
79304 | Other | FL | B/C B/S FLORIDA INSURANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | ME 0029197 (Florida) | Primary |
Entity Name | Deiorio Beaulieu & Fuller |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639184492 PECOS PAC ID: 3870516362 Enrollment ID: O20060111000249 |
Mailing Address | Practice Location Address |
---|---|
Jack G Beaulieu, MD 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 Ph: (239) 772-4484 | Jack G Beaulieu, MD 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 Ph: (239) 772-4484 |
Darrick T Saunders, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 657 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-4484 Fax: 239-772-2903 | |
Donn O Fuller, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 657 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-4484 Fax: 239-772-2903 | |
Dr. Tobin S. Hanson, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1682 Ne Pine Island Rd, Cape Coral, FL 33909 Phone: 239-541-7553 Fax: 239-343-7553 | |
Richard N Deiorio, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 657 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-4484 Fax: 239-772-2903 | |
Dr. Kenneth W Blecher, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2489 Diplomat Pkwy E, Cape Coral, FL 33909 Phone: 239-652-1800 | |
Dr. George B Jacobs, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5506 Harbour Preserve Cir, Cape Coral, FL 33914 Phone: 239-549-4610 Fax: 239-549-2859 |