| Martha Barzana-fernandez, | |
|
23450 Via Coconut Pt, Estero, FL 34135 | |
| (239) 468-0150 | |
| (239) 343-4056 |
| Full Name | Martha Barzana-fernandez |
|---|---|
| Gender | Female |
| Speciality | Internal 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 |
|---|---|---|---|
| 1184017782 | NPI | - | NPPES |
| 101947800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS15202 (Florida) | Primary |
| Entity Name | South Dade Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285748285 PECOS PAC ID: 6002835360 Enrollment ID: O20051116000041 |
| Entity Name | Guidewell Sanitas I, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Barzana-fernandez, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 468-0150 | Martha Barzana-fernandez, 23450 Via Coconut Pt, Estero, FL 34135 Ph: (239) 468-0150 |
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 | |
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 | |
Giselle Brito Mantilla, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4065 | |
Dr. Leandro Petersen Moraes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd Ste 1119, Estero, FL 34135 Phone: 239-343-9567 Fax: 239-343-9571 |