| Constantine A Mantz, MD | |
|
1419 Se 8th Ter, Cape Coral, FL 33990-3213 | |
| (239) 772-3202 | |
| (239) 773-8346 |
| Full Name | Constantine A Mantz |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 31 Years |
| Location | 1419 Se 8th Ter, Cape Coral, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396743290 | NPI | - | NPPES |
| 00794 | Other | FL | UNIV. HLTHCR. PROVIDER # |
| 160065 | Other | FL | WELLCARE (STAYWELL-MEDICAID AND WELLCARE-MEDICARE) |
| 4968199-001 | Other | FL | CIGNA PROVIDER NUMBER |
| ME80838A | Other | FL | METCARE PROVIDER ID # |
| 8329 | Other | FL | AVMED PIN NUMBER |
| 207227 | Other | FL | AMERIGROUP GROUP # |
| 592485899 | Other | FL | METCARE VENDOR ID # |
| 7082137 | Other | FL | AETNA PROVIDER NUMBER |
| 24-00187 | Other | FL | UTD. HLTHCR. PROVIDER # |
| 259822100 | Medicaid | FL | |
| 85447 | Other | FL | OP. ENG. LOC. 825 PROV. # |
| 272205 | Other | FL | AVMED PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | ME80838 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesiscare Usa Of Florida Llc | 9830082882 | 175 |
| Entity Name | Genesiscare Usa Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Constantine A Mantz, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Constantine A Mantz, MD 1419 Se 8th Ter, Cape Coral, FL 33990-3213 Ph: (239) 772-3202 |
Joseph G Bucknavage, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2489 Diplomat Pkwy E, Cape Coral, FL 33909 Phone: 239-652-1800 | |
Michele M Blair, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 11970 Prince Charles Ct, Cape Coral, FL 33991 Phone: 239-462-8948 |