William P Evans, MD | |
507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | |
(239) 772-0500 | |
(239) 772-3076 |
Full Name | William P Evans |
---|---|
Gender | Male |
Speciality | Urology |
Location | 507 Del Prado Blvd S, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609841618 | NPI | - | NPPES |
065714000 | Medicaid | FL | |
4091480 | Other | FL | AETNA PROVIDER NUMBER |
739090 | Other | FL | FIRST HLTH/CCN PROVIDER # |
96131 | Other | FL | OP. ENGIN. PROVIDER # |
1793617-007 | Other | FL | CIGNA PROVIDER NUMBER |
79594 | Other | FL | BCBS PROVIDER NUMBER |
166642 | Other | FL | USA MNGD. CR. PROVIDER # |
15752 | Other | FL | WELLCARE |
255642 | Other | FL | AVMED PROVIDER NUMBER |
ME0038033 | Other | FL | METCARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME0038033 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Mailing Address | Practice Location Address |
---|---|
William P Evans, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | William P Evans, MD 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 Ph: (239) 772-0500 |
Jaqueline Sousa Carvalho, FNP-BC Urology Medicare: Not Enrolled in Medicare Practice Location: 1206 Country Club Blvd, Cape Coral, FL 33990 Phone: 239-226-2727 | |
Mark A. Mintz, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 507 Del Prado Boulevard, Cape Coral, FL 33990 Phone: 239-772-0500 Fax: 239-772-3076 | |
James D Borden, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 507 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2030 Fax: 239-343-4116 | |
Kelly Johnson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2489 Diplomat Pkwy E, Cape Coral, FL 33909 Phone: 239-652-1800 | |
Dr. Eugene Vladimir Ermolovich, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 507 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2030 Fax: 239-343-4116 | |
Paul R. Bretton, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 507 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-0500 Fax: 239-772-3076 |