Ryan Lee Kjome, MD | |
11215 Metro Pkwy Ste 1, Fort Myers, FL 33966-1206 | |
(239) 208-2212 | |
Not Available |
Full Name | Ryan Lee Kjome |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 11215 Metro Pkwy Ste 1, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245486323 | NPI | - | NPPES |
200795704 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME152096 (Florida) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | M7336 (Texas) | Primary |
Entity Name | Tri-county Clinical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657 |
Entity Name | Prism Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568905768 PECOS PAC ID: 6305235268 Enrollment ID: O20211115001492 |
Entity Name | Ts Telepsychiatry Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134790058 PECOS PAC ID: 0941698070 Enrollment ID: O20211208003708 |
Mailing Address | Practice Location Address |
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Ryan Lee Kjome, MD 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966-1206 Ph: (239) 208-2212 | Ryan Lee Kjome, MD 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966-1206 Ph: (239) 208-2212 |
Stanley Garken Lue, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 Fax: 239-208-3994 | |
Felix Gabriel Rivera - Perez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Ellie Frazey, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Dr. Mark Adam Giordano, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 Phone: 239-343-9180 Fax: 239-343-9188 | |
Gustavo Silveira E Silva, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2206 | |
Rachel Elizabeth Carlin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2212 | |
Dr. Deepa Vaduthalakuzhy Luka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908 Phone: 239-343-6050 Fax: 239-343-6051 |