Jerad Rardin, | |
13685 Doctors Way Ste 350, Fort Myers, FL 33912-4347 | |
(239) 343-3800 | |
(239) 343-3993 |
Full Name | Jerad Rardin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 13685 Doctors Way Ste 350, 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 |
---|---|---|---|
1083163042 | NPI | - | NPPES |
115517400 | Medicaid | FL | |
003183133L | Medicaid | GA | |
212731 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN148874 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | 11010462 (Florida) | Primary |
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 |
---|---|---|
Lee Memorial Health System | 8729996608 | 1073 |
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 |
Entity Name | Sypert Institute Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104889534 PECOS PAC ID: 5193618767 Enrollment ID: O20041227000082 |
Mailing Address | Practice Location Address |
---|---|
Jerad Rardin, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-3800 | Jerad Rardin, 13685 Doctors Way Ste 350, Fort Myers, FL 33912-4347 Ph: (239) 343-3800 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074 | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101 | |
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9341 Via San Giovani St, Fort Myers, FL 33905 Phone: 249-297-4864 | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 | |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 | |
Ms. Susan Ann Sherman, MS, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3900 Broadway, Suite B-1, Fort Myers, FL 33901 Phone: 239-939-2808 Fax: 239-939-4794 |