Wally Plante, MD | |
28420 Bonita Xing Blvd Unit 110, Bonita Springs, FL 34135-3203 | |
(239) 235-0385 | |
(239) 343-7008 |
Full Name | Wally Plante |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 10 Years |
Location | 28420 Bonita Xing Blvd Unit 110, Bonita Springs, 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 |
---|---|---|---|
1558772061 | NPI | - | NPPES |
100164900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME135129 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lee Memorial Hospital | Fort myers, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Memory Care And Neurology Services Llc | 1951719459 | 5 |
Pure Healthcare Of Florida Llc | 8729496500 | 4 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Entity Name | Pure Healthcare Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093308397 PECOS PAC ID: 8729496500 Enrollment ID: O20210415000893 |
Entity Name | Florida Memory Care And Neurology Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700479094 PECOS PAC ID: 1951719459 Enrollment ID: O20210422000697 |
Mailing Address | Practice Location Address |
---|---|
Wally Plante, MD 28420 Bonita Crossings Blvd Unit 110, Bonita Springs, FL 34135-3203 Ph: (239) 235-0385 | Wally Plante, MD 28420 Bonita Xing Blvd Unit 110, Bonita Springs, FL 34135-3203 Ph: (239) 235-0385 |
Dr. Donald M Mccarren, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 28420 Bonita Crossings Blvd Unit 110, Bonita Springs, FL 34135 Phone: 239-235-0380 Fax: 239-237-5574 | |
Leonard A Lado, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9410 Fountain Medical Ct Ste 200, Bonita Springs, FL 34135 Phone: 239-948-4325 Fax: 239-288-0574 | |
Dr. Stephen Poulos, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3372 Woods Edge Cir Ste 101, Bonita Springs, FL 34134 Phone: 239-799-7873 |