Juan I Rivera, MD | |
315 E Olympia Ave, #111, Punta Gorda, FL 33950-3831 | |
(941) 205-2600 | |
(941) 205-2601 |
Full Name | Juan I Rivera |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 315 E Olympia Ave, Punta Gorda, 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 |
---|---|---|---|
1275521023 | NPI | - | NPPES |
072052600 | Medicaid | FL | |
04080 | Other | FL | FL BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MA046778 (New Jersey) | Secondary |
207Q00000X | Family Medicine | ME050857 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Millennium Home Care Llc | Port charlotte, FL | Home health agency |
Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
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 |
---|---|
Juan I Rivera, MD 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Juan I Rivera, MD 315 E Olympia Ave, #111, Punta Gorda, FL 33950-3831 Ph: (941) 205-2600 |
Sandra Evelyn Lane, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Olympia Ave Unit 211, Punta Gorda, FL 33950 Phone: 941-637-2663 Fax: 941-637-6872 | |
Dr. Keith Martin Rubin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25097 Olympia Ave Ste 203, Punta Gorda, FL 33950 Phone: 941-347-8744 Fax: 941-347-8756 | |
Dr. Stanley Mark Dratler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24430 Sandhill Blvd, Att Npi Unit 303, Punta Gorda, FL 33983 Phone: 941-244-4414 Fax: 941-244-4415 | |
Estuardo E. Aroca, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 713 E Marion Ave Ste 129, Punta Gorda, FL 33950 Phone: 941-621-2895 Fax: 941-621-2896 | |
Dr. Gordon K Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Madrid Blvd, 513, Punta Gorda, FL 33950 Phone: 941-505-0974 Fax: 941-637-9000 | |
Dr. David Alexander Phillips, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950 Phone: 941-295-6800 |