| Dwight Phelps, MD | |
|
13681 Doctors Way, Ft Myers, FL 33912-4300 | |
| (239) 768-8611 | |
| Not Available |
| Full Name | Dwight Phelps |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 13681 Doctors Way, Ft 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 |
|---|---|---|---|
| 1013989060 | NPI | - | NPPES |
| 12008 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME0083323 (Florida) | Primary |
| Entity Name | Southwest Florida Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588659502 PECOS PAC ID: 3870581432 Enrollment ID: O20040503001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight Phelps, MD P.o. Box 634748, Cincinnati, OH 45263-0001 Ph: () - | Dwight Phelps, MD 13681 Doctors Way, Ft Myers, FL 33912-4300 Ph: (239) 768-8611 |
Robert Sharkey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13681 Doctors Way, Ft Myers, FL 33912 Phone: 239-768-8611 | |
Desiree C Spehn-roland, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13681 Doctors Way, Ft Myers, FL 33912 Phone: 239-768-8611 Fax: 800-536-8431 | |
Thomas Schaar, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13681 Doctors Way, Ft Myers, FL 33912 Phone: 239-768-8611 | |
Annicol Marrocco, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13681 Doctors Way, Ft Myers, FL 33912 Phone: 239-768-8611 | |
Walter Simmons, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13681 Doctors Way, Ft Myers, FL 33912 Phone: 239-768-8611 |