| Dr Jonathan S Daitch, MD | |
|
8255 College Pkwy, Ste 100, Fort Myers, FL 33919-5119 | |
| (239) 437-8000 | |
| (239) 437-9991 |
| Full Name | Dr Jonathan S Daitch |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 41 Years |
| Location | 8255 College Pkwy, 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 |
|---|---|---|---|
| 1215924154 | NPI | - | NPPES |
| 12953 | Other | FL | BCBS |
| 4222838 | Other | AETNA | |
| 056302100 | Medicaid | FL | |
| 955549006 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | ME60798 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Florida Home Care Inc | Fort myers, FL | Home health agency |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Shell Point Nursing Pavilion | Fort myers, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Physical Therapy And Rehab Of Cape Coral Llc | 1951439660 | 75 |
| Advanced Pain Management Specialists | 9638161979 | 3 |
| Entity Name | Advanced Pain Management Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215982665 PECOS PAC ID: 9638161979 Enrollment ID: O20040330000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan S Daitch, MD Po Box 07400, Fort Myers, FL 33919-0391 Ph: (239) 437-8000 | Dr Jonathan S Daitch, MD 8255 College Pkwy, Ste 100, Fort Myers, FL 33919-5119 Ph: (239) 437-8000 |
Pierre R Herard, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 16281 Bass Rd Ste 300, Fort Myers, FL 33908 Phone: 239-343-7110 Fax: 239-343-5255 | |
Dr. Benjamin Paul Sirutis, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 12670 Creekside Ln Ste 202, Fort Myers, FL 33919 Phone: 239-482-2663 Fax: 239-482-7585 | |
Harlan B Stern, B Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8960 Colonial Center Dr Ste 210, Fort Myers, FL 33905 Phone: 239-343-9430 Fax: 239-343-9495 | |
Dr. Richard Keith Hood, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919 Phone: 239-482-5399 Fax: 239-482-5153 | |
Dr. George Ibrahim Soliman, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 12670 Creekside Ln Ste 202, Fort Myers, FL 33919 Phone: 239-482-2663 Fax: 239-482-7585 |