| Dr Tyler Charles Ensley, DO | |
|
Cape Coral Hospital, 636 Del Prado Blvd, Cape Coral, FL 33990 | |
| (239) 424-3513 | |
| (239) 424-4039 |
| Full Name | Dr Tyler Charles Ensley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Cape Coral Hospital, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124223581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS15967 (Florida) | Primary |
| Entity Name | Team Physicians Of Northern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Charles Ensley, DO Po Box 151368, Cape Coral Emergency Physicians, Llc, Cape Coral, FL 33915 Ph: (239) 424-3513 | Dr Tyler Charles Ensley, DO Cape Coral Hospital, 636 Del Prado Blvd, Cape Coral, FL 33990 Ph: (239) 424-3513 |
Tucker Greene, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 | |
Connor Mech Montgomery, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 | |
Alan B Claunch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 Fax: 239-574-0269 | |
Timothy Dougherty, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 | |
Dr. Michael C Haupt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 Phone: 239-574-2644 Fax: 239-574-1451 | |
Kurt Mueller, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 636 Del Prado Blvd S, 1030, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 |