| Dr Rathna Bushan, MD | |
|
1454 Madison Ave W, Immokalee, FL 34142-2200 | |
| (239) 965-8300 | |
| (239) 658-3175 |
| Full Name | Dr Rathna Bushan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1454 Madison Ave W, Immokalee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780723577 | NPI | - | NPPES |
| ME55449 | Other | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME55449 (Florida) | Primary |
| Entity Name | Hope Hospice And Community Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114225745 PECOS PAC ID: 0941105308 Enrollment ID: O20031201000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rathna Bushan, MD 11341 Longwater Chase Court, Fort Myers, FL 33908 Ph: () - | Dr Rathna Bushan, MD 1454 Madison Ave W, Immokalee, FL 34142-2200 Ph: (239) 965-8300 |
Alexandra Bianca Sarac, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 Heritage Blvd, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 237-658-3175 | |
Dr. Adela M De Vera, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 Heritage Blvd, Immokalee, FL 34142 Phone: 239-658-3000 | |
Dr. Julio C Casas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 Heritage Blvd, Immokalee, FL 34142 Phone: 239-658-3000 | |
Flora Consul Sakornsin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 | |
Jerry Williamson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3196 Fax: 239-658-3175 | |
Dawn M Bertram-stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 |