Ivan L Mazzorana Jr, MD | |
12590 Whitehall Dr, Ste 3, Ft Myers, FL 33907-3620 | |
(239) 939-9090 | |
(239) 939-2922 |
Full Name | Ivan L Mazzorana Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 38 Years |
Location | 12590 Whitehall Dr, Ft 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 |
---|---|---|---|
1669480653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME00623151 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Coral Hospital | Cape coral, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivan L Mazzorana Jr Md Pa | 5395647754 | 13 |
Entity Name | Ivan L Mazzorana Jr Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790877488 PECOS PAC ID: 5395647754 Enrollment ID: O20040126000086 |
Mailing Address | Practice Location Address |
---|---|
Ivan L Mazzorana Jr, MD 12590 Whitehall Dr, Ste 3, Ft Myers, FL 33907-3620 Ph: (239) 939-9090 | Ivan L Mazzorana Jr, MD 12590 Whitehall Dr, Ste 3, Ft Myers, FL 33907-3620 Ph: (239) 939-9090 |
Peggy Elizabeth Chatham, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12734 Kenwood Ln, Ste. 84, Ft Myers, FL 33907 Phone: 239-936-5250 Fax: 239-936-9970 | |
Ruben Ocasio-ferrer, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Ste 84, Ft Myers, FL 33907 Phone: 239-936-5250 Fax: 239-936-9970 | |
Dr. Maxwell Sobel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12734 Kenwood Ln, Suite 84, Ft Myers, FL 33907 Phone: 239-936-5250 Fax: 239-936-9970 | |
Dr. Mark Anthony Lokitus, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1342 Colonial Blvd, Building K Suite 102, Ft Myers, FL 33907 Phone: 239-275-7440 Fax: 239-274-3711 |