| Dr Bobak Reza Rahmanian, DO | |
|
13691 Metro Pkwy Ste 400, Fort Myers, FL 33912-4349 | |
| (239) 440-6456 | |
| (239) 236-0337 |
| Full Name | Dr Bobak Reza Rahmanian |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 33 Years |
| Location | 13691 Metro Pkwy Ste 400, Fort Myers, 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 |
|---|---|---|---|
| 1124068325 | NPI | - | NPPES |
| 53784705 | Medicaid | HI | |
| 53784704 | Medicaid | HI | |
| A015 | Other | HI | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DOS911 (Hawaii) | Secondary |
| 207P00000X | Emergency Medicine | OS11406 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grace Hospice | Troy, MI | Hospice |
| Garden City Hospital | Garden city, MI | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Lodge At Cypress Cove, The | Fort myers, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Coral Emergency Physicians Llc | 1557465325 | 9 |
| Ihp Mi Emergency Medicine Pllc | 2365821634 | 33 |
| Hawk Emergency Group, P.c. | 6800241050 | 45 |
| Entity Name | Cape Coral Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376611962 PECOS PAC ID: 1557465325 Enrollment ID: O20070404000086 |
| Entity Name | Southwest Florida Emergency Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780911206 PECOS PAC ID: 0648314393 Enrollment ID: O20100218000201 |
| Entity Name | Thse - Marco Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801125331 PECOS PAC ID: 8921131475 Enrollment ID: O20100804000321 |
| Entity Name | Lake Wales Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033480405 PECOS PAC ID: 8022270461 Enrollment ID: O20120502000079 |
| Entity Name | Lee Senior Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427674373 PECOS PAC ID: 1153740915 Enrollment ID: O20200928001461 |
| Entity Name | Port Charlotte Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376147835 PECOS PAC ID: 4880093244 Enrollment ID: O20210604001879 |
| Entity Name | Tele911 Florida Emergency Medical Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063174647 PECOS PAC ID: 3274922992 Enrollment ID: O20211117002600 |
| Entity Name | Ies Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bobak Reza Rahmanian, DO Po Box 9279, Jupiter, FL 33468-9279 Ph: (239) 440-6456 | Dr Bobak Reza Rahmanian, DO 13691 Metro Pkwy Ste 400, Fort Myers, FL 33912-4349 Ph: (239) 440-6456 |
Arles Perdomo, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3677 Central Ave Ste I, Fort Myers, FL 33901 Phone: 239-944-0918 Fax: 239-237-5165 | |
Joseph Gulde, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-334-5606 | |
Carrie Dunn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2606 | |
Julie Marsha Teuber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-1614 Fax: 239-343-3695 | |
Dr. Thang V Truong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-6260 Fax: 239-343-6259 | |
Suzanne Felt, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-3292 Fax: 239-343-3695 | |
Mark Schattschneider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-3292 Fax: 239-343-3695 |