| Kevin Douglas Lille, PAC | |
|
21298 Olean Blvd, Fawcett Memorial Hospital, Port Charlotte, FL 33952 | |
| (941) 627-6130 | |
| (941) 627-6146 |
| Full Name | Kevin Douglas Lille |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 21298 Olean Blvd, Port Charlotte, 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 |
|---|---|---|---|
| 1679588750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101308 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spinal Health And Rehab Of Punta Gorda | 7214053727 | 5 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Douglas Lille, PAC 3141 Nw 63rd, Suite 4, Oklahoma City, OK 73116 Ph: (405) 607-1318 | Kevin Douglas Lille, PAC 21298 Olean Blvd, Fawcett Memorial Hospital, Port Charlotte, FL 33952 Ph: (941) 627-6130 |
Grace Colarossi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 | |
Mrs. Susan Jane Nolan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Grace Diana Tice, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 | |
Iris Jeanne Swiderski, DHSC, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 | |
Mr. Brian R Webster, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 530 Tamiami Trail, Port Charlotte, FL 33953 Phone: 941-391-5296 Fax: 941-391-5297 | |
Sara Elizabeth Wainwright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 | |
Danielle Emery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3611 Tamiami Trl Ste B, Port Charlotte, FL 33952 Phone: 941-235-0542 Fax: 941-235-0545 |