Dr Raymond Paul Liccini, MD | |
16261 Bass Rd Ste 300, Fort Myers, FL 33908 | |
(239) 343-6410 | |
(239) 343-4014 |
Full Name | Dr Raymond Paul Liccini |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 35 Years |
Location | 16261 Bass Rd Ste 300, 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 |
---|---|---|---|
1619969078 | NPI | - | NPPES |
060070568 | Other | FL | MEDICARE RR |
27065 | Other | FL | BCBS |
377898300 | Medicaid | FL | |
820580815 | Other | FL | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | ME68201 (Florida) | Primary |
207UN0901X | Nuclear Medicine - Nuclear Cardiology | ME68201 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lee Memorial Hospital | Fort myers, FL | Hospital |
Cape Coral Hospital | Cape coral, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lee Memorial Health System | 8729996608 | 1022 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond Paul Liccini, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-6410 | Dr Raymond Paul Liccini, MD 16261 Bass Rd Ste 300, Fort Myers, FL 33908 Ph: (239) 343-6410 |
Anthony A Mcfarlane, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905 Phone: 239-343-9700 Fax: 239-343-9699 | |
Scott Francis Allen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Barkley Cir, Fort Myers, FL 33907 Phone: 239-938-2000 | |
Dr. Jyothsna Priyadarshini Bandaru, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3725 Piazza Dr Apt 202, Fort Myers, FL 33916 Phone: 000-000-0000 | |
Dr. Daniel Morales, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Richard A Chazal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 S Health Park Dr, Suite 320, Fort Myers, FL 33908 Phone: 239-343-6350 Fax: 239-343-6358 | |
Dr. James M Toomey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 Phone: 239-343-1448 Fax: 239-343-1449 | |
Charles M Callahan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 809, Fort Myers, FL 33901 Phone: 239-343-9680 Fax: 239-343-4178 |