Keith S Susko, MD | |
4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | |
(239) 226-0077 | |
(239) 489-0077 |
Full Name | Keith S Susko |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 26 Years |
Location | 4977 Royal Gulf Cir, 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 |
---|---|---|---|
1275595159 | NPI | - | NPPES |
17033 | Other | FL | BCBS |
17033X | Other | FL | MEDICARE |
2658666-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | ME85368 (Florida) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME85368 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain Relief And Physical Rehab Inc | 0042377863 | 2 |
Entity Name | Pain Relief And Physical Rehab Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134378938 PECOS PAC ID: 0042377863 Enrollment ID: O20090324000062 |
Mailing Address | Practice Location Address |
---|---|
Keith S Susko, MD Po Box 222, Estero, FL 33929-0222 Ph: (239) 226-0077 | Keith S Susko, MD 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 Ph: (239) 226-0077 |
Dr. Connie C Lee, M,D., Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 29 Barkley Cir, Fort Myers, FL 33907 Phone: 239-791-8273 Fax: 239-791-8256 | |
John Thomas Rowell, LAT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10501 Fgcu Blvd S, Fort Myers, FL 33965 Phone: 239-590-1000 | |
Dr. Alan Manh-tuong Nguyen, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3033 Winkler Ave Unit 100, Fort Myers, FL 33916 Phone: 239-277-7070 | |
Haley Swackhammer, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 15071 Shell Point Blvd, Fort Myers, FL 33908 Phone: 740-649-9305 | |
Dr. Brianna Turner, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 13881 Eagle Ridge Dr, Fort Myers, FL 33912 Phone: 239-561-7700 | |
Pierre R Hyppolite, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 16281 Bass Rd Ste 300, Fort Myers, FL 33908 Phone: 239-343-7110 Fax: 239-343-5255 | |
Mr. Troy W Smith, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6314 Whiskey Creek Dr, Fort Myers, FL 33919 Phone: 239-432-0556 Fax: 239-432-9727 |