Cape Coral Integrated Medical is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Cape Coral, Florida. Their current practice location is
1413 Viscaya Pkwy, Cape Coral, Florida. You can reach out to their office (for appointments etc.) via phone at
(239) 458-5747.
Cape Coral Integrated Medical is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Cape Coral Integrated Medical
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255932703.
Healthcare Provider's Profile
| Full Name | Cape Coral Integrated Medical |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1413 Viscaya Pkwy, Cape Coral, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255932703
- Provider Enumeration Date: 11/02/2020
- Last Update Date: 06/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385059195
- Enrollment ID: O20210209000034
Medical Identifiers
Medical identifiers for Cape Coral Integrated Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255932703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Cape Coral Integrated Medical acts as a billing entity for following providers:
| Provider Name | Ronald I Jacoby |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1346269669
PECOS PAC ID: 5193985737
Enrollment ID: I20120320000140 |
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| Provider Name | Mario Amaury Cartaya Diaz |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1932669504
PECOS PAC ID: 6901219252
Enrollment ID: I20210106002192 |
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| Provider Name | Justin D Dempsey |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1982016747
PECOS PAC ID: 4981829215
Enrollment ID: I20210209000297 |
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| Provider Name | Michael Patrick Durham |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1760092605
PECOS PAC ID: 2163821745
Enrollment ID: I20210602001196 |
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| Provider Name | Sandra M Figueroa |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1497327837
PECOS PAC ID: 1153727813
Enrollment ID: I20210902003307 |
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| Provider Name | Claudia Garcia |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1588336218
PECOS PAC ID: 5799166070
Enrollment ID: I20220718002443 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cape Coral Integrated Medical is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Cape Coral Integrated Medical
1413 Viscaya Pkwy,
Cape Coral, FL 33990-6206
Ph: (239) 458-5747 | Cape Coral Integrated Medical
1413 Viscaya Pkwy,
Cape Coral, FL 33990-6206
Ph: (239) 458-5747 |
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