Jacqueline Payne, DO | |
3571 Del Prado Blvd N Ste 2, Cape Coral, FL 33909-5287 | |
(239) 656-6300 | |
(239) 656-6765 |
Full Name | Jacqueline Payne |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 3571 Del Prado Blvd N Ste 2, Cape Coral, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245308048 | NPI | - | NPPES |
036099212 | Medicaid | IL | |
200258980 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036099212 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health | Fort myers, FL | Home health agency |
Millennium Home Care Llc | Port charlotte, FL | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Millennium Physician Group Llc | 9830244433 | 789 |
Entity Name | Millennium Physician Group Llc |
---|---|
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 |
---|---|
Jacqueline Payne, DO 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Jacqueline Payne, DO 3571 Del Prado Blvd N Ste 2, Cape Coral, FL 33909-5287 Ph: (239) 656-6300 |
Mr. Manuel Lorenzo Romero Garcia, MSN,APRN,FNP,RN Family Medicine Medicare: Medicare Enrolled Practice Location: 4231 Sw 20th Ave, Cape Coral, FL 33914 Phone: 305-833-6935 | |
Dr. Ketty Maurice, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd, Cape Coral, FL 33990 Phone: 239-424-3123 Fax: 239-424-4041 | |
Kathleen M Welch-wilson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1407 Viscaya Pkwy Ste 2, Cape Coral, FL 33990 Phone: 239-772-0111 Fax: 239-772-0267 | |
Dr. Jennifer Alejandra Carrion, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2441 Surfside Blvd, Cape Coral, FL 33914 Phone: 239-541-7500 Fax: 239-541-7501 | |
Juan Antonio Carmona, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2307 Bolado Pkwy, Cape Coral, FL 33990 Phone: 239-424-8122 Fax: 239-257-3827 | |
Dr. Adam Patrick Giddings, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Nw 4th Pl, Cape Coral, FL 33993 Phone: 813-363-2616 | |
Dr. Celeste M. Correa, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S Ste A5510, Cape Coral, FL 33990 Phone: 239-343-9237 Fax: 239-343-9218 |