| Prestige Primary Care | |
|
1855 Veterans Park Dr Ste 304 Naples FL 34109-0446 | |
| (239) 676-0656 | |
| (239) 533-9735 |
| Full Name | Prestige Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1855 Veterans Park Dr Ste 304, Naples, Florida |
| Authorized Official Name and Position | Mahesha Thimmarayappa (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2936760656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Primary Care 1855 Veterans Park Dr Ste 304 Naples FL 34109-0446 Ph: (239) 676-0656 | Prestige Primary Care 1855 Veterans Park Dr Ste 304 Naples FL 34109-0446 Ph: (239) 676-0656 |
| NPI Number | 1225505399 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 09/07/2021 |
| Medicare PECOS PAC ID | 6507192317 |
|---|---|
| Medicare Enrollment ID | O20190731001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225505399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Bartalino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427306687 PECOS PAC ID: 5193975811 Enrollment ID: I20121015000483 |
| Provider Name | Mahesha Varma Thimmarayappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043300486 PECOS PAC ID: 2668464058 Enrollment ID: I20190731001153 |
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