| John Michael Wilson, | |
|
632 Del Prado Blvd N, Cape Coral, FL 33909-2278 | |
| (239) 343-3800 | |
| (239) 343-4261 |
| Full Name | John Michael Wilson |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 632 Del Prado Blvd N, 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 |
|---|---|---|---|
| 1639673924 | NPI | - | NPPES |
| 127244600 | Medicaid | FL |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Wilson, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (393) 433-8002 | John Michael Wilson, 632 Del Prado Blvd N, Cape Coral, FL 33909-2278 Ph: (239) 343-3800 |
Mr. Wesley H Faunce Iii, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 632 Del Prado Blvd N, Cape Coral, FL 33909 Phone: 239-772-5577 Fax: 239-573-1528 | |
Nicholas Daniel Coppa, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 632 Del Prado Blvd N, Cape Coral, FL 33909 Phone: 239-343-3800 Fax: 239-343-4261 | |
Donald J. Moyer, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 632 Del Prado Blvd N, Cape Coral, FL 33909 Phone: 239-772-5577 Fax: 239-573-1528 |