Thad Kammerlocher, MD | |
6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | |
(239) 936-8555 | |
(239) 936-5611 |
Full Name | Thad Kammerlocher |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 32 Years |
Location | 6821 Palisades Park Ct, 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 |
---|---|---|---|
1326003997 | NPI | - | NPPES |
260837 | Other | AVMED | |
7267021 | Other | FL | AETNA PROVIDER # |
256427100 | Medicaid | FL | |
2759634 | Other | FL | CIGNA PROVIDER # |
46591 | Other | FL | BCBS PROVIDER # |
P00449663 | Other | FL | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME65374 (Florida) | Primary |
2086S0129X | Surgery - Vascular Surgery | ME65374 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
Lee Memorial Hospital | Fort myers, FL | Hospital |
Cape Coral Hospital | Cape coral, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Specialists Of Southwest Florida P.a. | 7810958261 | 12 |
Entity Name | Surgical Specialists Of Southwest Florida P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033103437 PECOS PAC ID: 7810958261 Enrollment ID: O20100510000454 |
Mailing Address | Practice Location Address |
---|---|
Thad Kammerlocher, MD 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 Ph: (239) 936-8555 | Thad Kammerlocher, MD 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 Ph: (239) 936-8555 |
Dr. Scott B Patterson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 Phone: 239-343-3474 Fax: 239-343-2968 | |
Joseph Froilan Yurich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15730 New Hampshire Ct, Fort Myers, FL 33908 Phone: 239-481-0033 Fax: 321-966-8322 | |
Dr. Rachel A Titus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075 | |
Dr. Kendrick D Mcarthur, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 | |
Lilly Ann Bayouth, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 13685 Doctors Way Ste 100, Fort Myers, FL 33912 Phone: 239-343-1612 Fax: 239-343-4229 | |
Dr. John Anthony Moss, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-936-8555 Fax: 239-936-5611 | |
Peggy C. Kalkounos, DO Surgery Medicare: Medicare Enrolled Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 |