| Dr Joseph E Tienstra, MD | |
|
63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 | |
| (239) 938-3500 | |
| (239) 278-0055 |
| Full Name | Dr Joseph E Tienstra |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 63 Barkley Cir, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366499329 | NPI | - | NPPES |
| 300064841 | Other | FL | RR MEDICARE |
| 205472 | Other | AMERIGROUP | |
| 0004093006 | Other | AETNA | |
| ME45066 | Other | FL WC CERTIFICATION | |
| O36234400 | Medicaid | FL | |
| 36420 | Other | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME0045066 (Florida) | Primary |
| Entity Name | Florida Radiology Leasing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518907823 PECOS PAC ID: 1759327356 Enrollment ID: O20050706000059 |
| Entity Name | Florida Neurology Group P L |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962497669 PECOS PAC ID: 0840286407 Enrollment ID: O20050720000536 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph E Tienstra, MD 8791 Conference Dr, Suite 1, Fort Myers, FL 33919-5822 Ph: (239) 938-3506 | Dr Joseph E Tienstra, MD 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 Ph: (239) 938-3500 |
Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 | |
Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316 | |
Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 | |
Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989 | |
Mitchell Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106 | |
Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219 | |
Dr. Michael J Weiss, MD Radiology Medicare: Medicare Enrolled Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 |