| Dr Michael C Carr, MD | |
|
16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | |
| (239) 343-7474 | |
| (239) 343-4190 |
| Full Name | Dr Michael C Carr |
|---|---|
| Gender | Male |
| Speciality | Urology - Pediatric Urology |
| Location | 16230 Summerlin Rd Ste 215, 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 |
|---|---|---|---|
| 1649354044 | NPI | - | NPPES |
| 001699548 | Medicaid | PA | |
| 013251000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD065637L (Pennsylvania) | Secondary |
| 208800000X | Urology | ME120545 (Florida) | Secondary |
| 2088P0231X | Urology - Pediatric Urology | ME120545 (Florida) | Primary |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Kidz Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366408379 PECOS PAC ID: 3678536240 Enrollment ID: O20041105000218 |
| 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 Michael C Carr, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-1500 | Dr Michael C Carr, MD 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 Ph: (239) 343-7474 |
Jaqueline Sousa Carvalho, FNP-BC Urology Medicare: Accepting Medicare Assignments Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117 | |
Barry F Blitz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774 | |
Dr. Joseph Clair Klink, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932 | |
Scott Raymond Caesar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905 Phone: 239-458-1196 Fax: 239-458-1345 | |
Mark Joseph Kelly, MD Urology Medicare: Medicare Enrolled Practice Location: 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932 | |
Brett Michael Giblin, Urology Medicare: Accepting Medicare Assignments Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117 | |
Dr. David S Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-533-5177 Fax: 239-322-5610 |