| Marco Island Medical Center | |
|
531 Bald Eagle Dr Marco Island FL 34145-2700 | |
| (239) 393-2000 | |
| (239) 393-0355 |
| Full Name | Marco Island Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 531 Bald Eagle Dr, Marco Island, Florida |
| Authorized Official Name and Position | Joseph Vickaryous (OWNER) |
| Authorized Official Contact | 2393932000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Island Medical Center 531 Bald Eagle Dr Marco Island FL 34145-2700 Ph: (239) 393-2000 | Marco Island Medical Center 531 Bald Eagle Dr Marco Island FL 34145-2700 Ph: (239) 393-2000 |
| NPI Number | 1164751400 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 9931241551 |
|---|---|
| Medicare Enrollment ID | O20100120000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164751400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9338 (Florida) | Primary |
| Provider Name | Joseph Vickaryous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750475240 PECOS PAC ID: 5395887913 Enrollment ID: I20100120000596 |
| Provider Name | Amanda L Brink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568871101 PECOS PAC ID: 3476873092 Enrollment ID: I20150522000342 |
Island Doctor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 N Collier Blvd, Suite 308, Marco Island, FL 34145 Phone: 239-642-5552 Fax: 239-642-5565 | |
Medial Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Bald Eagle Dr Ste C, Marco Island, FL 34145 Phone: 239-687-0512 Fax: 239-394-7706 | |
Physicians Regional Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1839 San Marco Rd, Marco Island, FL 34145 Phone: 239-348-4504 Fax: 239-348-4506 | |
Marco Island Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 S Heathwood Dr, Marco Island, FL 34145 Phone: 239-394-0693 Fax: 239-642-2321 | |
Josephine V Jasper Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 40 S Heathwood Dr Ste E, Marco Island, FL 34145 Phone: 239-315-8271 | |
Dr J S House Calls Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 Leeward Ct, Marco Island, FL 34145 Phone: 313-505-5877 |