Kelsey June Diemer, DO | |
23450 Via Coconut Pt, Estero, FL 34135-1877 | |
(239) 343-9696 | |
(239) 343-4198 |
Full Name | Kelsey June Diemer |
---|---|
Gender | Female |
Speciality | Internal Medicine - Sports Medicine |
Location | 23450 Via Coconut Pt, Estero, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770043150 | NPI | - | NPPES |
119160500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0010X | Internal Medicine - Sports Medicine | OS20212 (Florida) | Primary |
Entity Name | Nchmd Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831120195 PECOS PAC ID: 9436139565 Enrollment ID: O20040721000254 |
Mailing Address | Practice Location Address |
---|---|
Kelsey June Diemer, DO Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-9696 | Kelsey June Diemer, DO 23450 Via Coconut Pt, Estero, FL 34135-1877 Ph: (239) 343-9696 |
Jeremy A Dzen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056 | |
Dr. Matthew A Dorman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056 | |
Thomas D Hughes, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0121 Fax: 239-343-4025 | |
Martha Barzana-fernandez, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056 | |
Dr. Sandra Aherwa Chesoni, M.D., PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd Ste 2220, Estero, FL 34135 Phone: 239-343-9633 Fax: 239-343-4015 | |
Alexandra Danielle Walters, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0000 | |
Dr. Leandro Petersen Moraes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd Ste 1119, Estero, FL 34135 Phone: 239-343-9567 Fax: 239-343-9571 |