| Anthony R Marks, MD | |
|
524 W Sagamore Ave, Clewiston, FL 33440-3514 | |
| (863) 902-3000 | |
| Not Available |
| Full Name | Anthony R Marks |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 524 W Sagamore Ave, Clewiston, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649237272 | NPI | - | NPPES |
| 00G636850 | Medicaid | CA | |
| ME148085 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G63685 (California) | Secondary |
| 207P00000X | Emergency Medicine | ME148085 (Florida) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Can Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony R Marks, MD 16570 Calistoga Dr, Bonita Springs, FL 34135-9113 Ph: (510) 350-2600 | Anthony R Marks, MD 524 W Sagamore Ave, Clewiston, FL 33440-3514 Ph: (863) 902-3000 |
Ruddy Valdes, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 524 W Sagamore Ave, Clewiston, FL 33440 Phone: 954-615-7179 | |
Dr. Aaisya Nabeehah Ansari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 W Sagamore Ave, Clewiston, FL 33440 Phone: 863-983-9121 | |
Dr. Sonia Marie Maddalena, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W Sugarland Hwy, Clewiston, FL 33440 Phone: 863-983-2227 | |
Dr. Robert R Dunn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 524 W Sagamore Ave, Clewiston, FL 33440 Phone: 863-983-2227 |