| Mark Fam, DO | |
|
2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 | |
| (239) 343-2371 | |
| Not Available |
| Full Name | Mark Fam |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 3 Years |
| Location | 2780 Cleveland Ave Ste 709, 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 |
|---|---|---|---|
| 1659012623 | NPI | - | NPPES |
| 119884600 | Medicaid | FL | |
| QR9XS | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS20402 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lee Health System Inc | 9335672146 | 1153 |
| 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 | University Medical Service Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
| 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 |
|---|---|
| Mark Fam, DO Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Mark Fam, DO 2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 Ph: (239) 343-2371 |
Annie Taylor Millis, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15420 Cemetery Rd, Fort Myers, FL 33905 Phone: 843-992-4619 | |
Andrew J Oakes-lottridge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1315 Florida Ave, Fort Myers, FL 33901 Phone: 239-694-6246 Fax: 239-344-3333 | |
Taras Babiak, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19701 S Tamiami Trl, Fort Myers, FL 33908 Phone: 239-314-1600 Fax: 239-425-6402 | |
Dr. Frederick J. Burford Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13774 Plantation Rd Ste 100, Fort Myers, FL 33912 Phone: 239-236-7777 Fax: 239-245-7028 | |
Dr. Rafael Paula, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Dr. David John Gomeringer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 240, Fort Myers, FL 33912 Phone: 239-768-5544 Fax: 239-768-9607 | |
Billy Ray Fulk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16731 Mcgregor Blvd, Suite 105, Fort Myers, FL 33908 Phone: 239-437-2121 |