| Kelsey June Diemer, DO | |
|
23450 Via Coconut Pt, Estero, FL 34135-1877 | |
| (239) 343-9696 | |
| (239) 343-4198 |
| Full Name | Kelsey June Diemer |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Sports Medicine |
| Location | 23450 Via Coconut Pt, Estero, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770043150 | NPI | - | NPPES |
| 119160500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | OS20212 (Florida) | Primary |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey June Diemer, DO Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-9696 | Kelsey June Diemer, DO 23450 Via Coconut Pt, Estero, FL 34135-1877 Ph: (239) 343-9696 |
Jeremy A Dzen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056 | |
Dr. Matthew A Dorman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056 | |
Thomas D Hughes, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0121 Fax: 239-343-4025 | |
Martha Barzana-fernandez, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056 | |
Dr. Sandra Aherwa Chesoni, M.D., PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd Ste 2220, Estero, FL 34135 Phone: 239-343-9633 Fax: 239-343-4015 | |
Alexandra Danielle Walters, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0000 | |
Giselle Brito Mantilla, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4065 |