| Wellspan Medical Services Llc | |
|
599 9th St N Ste 211 Naples FL 34102-5625 | |
| (239) 643-7888 | |
| (239) 643-4744 |
| Full Name | Wellspan Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 599 9th St N Ste 211, Naples, Florida |
| Authorized Official Name and Position | Joseph John Repay (OWNER/PRESIDENT) |
| Authorized Official Contact | 2396437888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Medical Services Llc 599 9th St N Ste 211 Naples FL 34102-5625 Ph: (239) 643-7888 | Wellspan Medical Services Llc 599 9th St N Ste 211 Naples FL 34102-5625 Ph: (239) 643-7888 |
| NPI Number | 1932666344 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 4688915085 |
|---|---|
| Medicare Enrollment ID | O20190514000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932666344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John P Van Dongen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366402695 PECOS PAC ID: 8628965894 Enrollment ID: I20040302000910 |
| Provider Name | Matthew Denunzio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760826499 PECOS PAC ID: 3072735604 Enrollment ID: I20160812002038 |
| Provider Name | Nicoleta Kakaes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619315892 PECOS PAC ID: 6507168549 Enrollment ID: I20160906000162 |
| Provider Name | Joseph J Repay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215069059 PECOS PAC ID: 6103800289 Enrollment ID: I20160913001937 |
| Provider Name | Joshua Blitstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639533698 PECOS PAC ID: 6002101573 Enrollment ID: I20191101000760 |
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