| Sanibel Internal Medicine Llc | |
|
2495 Palm Ridge Rd Sanibel FL 33957-3201 | |
| (239) 395-2005 | |
| Not Available |
| Full Name | Sanibel Internal Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2495 Palm Ridge Rd, Sanibel, Florida |
| Authorized Official Name and Position | Robert C Bussing (CO-OWNER, MANAGER, PHYSICIAN) |
| Authorized Official Contact | 2393952005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanibel Internal Medicine Llc 2495 Palm Ridge Rd Sanibel FL 33957-3201 Ph: (239) 395-2005 | Sanibel Internal Medicine Llc 2495 Palm Ridge Rd Sanibel FL 33957-3201 Ph: (239) 395-2005 |
| NPI Number | 1578171047 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 09/07/2021 |
| Medicare PECOS PAC ID | 2466871496 |
|---|---|
| Medicare Enrollment ID | O20200924002054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578171047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert C Bussing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699751354 PECOS PAC ID: 7810976750 Enrollment ID: I20200924002138 |
San Cap Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Sanibel Captiva Rd, Sanibel, FL 33957 Phone: 239-472-0700 Fax: 239-472-0855 | |
Edward P Lamotta Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1699 Periwinkle Way, Sanibel, FL 33957 Phone: 239-395-2434 Fax: 239-395-2494 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 695 Tarpon Bay Rd Unit 2, Sanibel, FL 33957 Phone: 239-312-4544 Fax: 239-312-4543 | |
Sanibel Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2499 Palm Ridge Rd, Sanibel, FL 33957 Phone: 239-395-2005 Fax: 239-395-0042 |