| Beacon Health Llc | |
|
1656 Medical Blvd Ste 301 Naples FL 34110-1423 | |
| (239) 593-6204 | |
| (239) 799-2131 |
| Full Name | Beacon Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1656 Medical Blvd Ste 301, Naples, Florida |
| Authorized Official Name and Position | Molly Heinrich (MANAGER) |
| Authorized Official Contact | 2397997057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Health Llc 1656 Medical Blvd Ste 301 Naples FL 34110-1423 Ph: (239) 799-7057 | Beacon Health Llc 1656 Medical Blvd Ste 301 Naples FL 34110-1423 Ph: (239) 593-6204 |
| NPI Number | 1942968524 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 0244617140 |
|---|---|
| Medicare Enrollment ID | O20220516000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942968524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Steven A Meckstroth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073508123 PECOS PAC ID: 1658260484 Enrollment ID: I20100819000408 |
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