| Dr Nagesh B Ravipati, MD | |
|
13770 Plantation Rd, Suite 2, Fort Myers, FL 33912-4301 | |
| (239) 275-0728 | |
| (239) 275-6947 |
| Full Name | Dr Nagesh B Ravipati |
|---|---|
| Gender | Male |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 37 Years |
| Location | 13770 Plantation Rd, 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 |
|---|---|---|---|
| 1093788879 | NPI | - | NPPES |
| P00956367 | Other | FL | RAILROAD MEDICARE |
| 149XH | Other | FL | BCBS FL |
| 341426 | Other | FL | AVMED HMO/EPN THRU LEE PHO |
| 002755200 | Medicaid | FL | |
| 7783774 | Other | FL | CIGNA |
| P930873 | Other | FL | OPTIMUM |
| P985345 | Other | FL | FREEDOM HEALTH |
| 1235326 | Other | FL | WELLCARE |
| 9014393 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 36251 (Arizona) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 104528 (Minnesota) | Secondary |
| 208C00000X | Colon & Rectal Surgery | ME102588 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Precision Healthcare Specialists, Llc | 6103284955 | 80 |
| 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 |
| Entity Name | Precision Healthcare Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457050106 PECOS PAC ID: 6103284955 Enrollment ID: O20230626003606 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nagesh B Ravipati, MD 2234 Colonial Blvd, Attn: Managed Care Dept., Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Dr Nagesh B Ravipati, MD 13770 Plantation Rd, Suite 2, Fort Myers, FL 33912-4301 Ph: (239) 275-0728 |