Michelle Gonsalves, DO | |
2675 Winkler Ave Fl 2floor, Fort Myers, FL 33901-9342 | |
(855) 979-5700 | |
Not Available |
Full Name | Michelle Gonsalves |
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Gender | Female |
Speciality | Hospitalist |
Location | 2675 Winkler Ave Fl 2floor, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164857587 | NPI | - | NPPES |
015038200 | Medicaid | FL | |
1407S | Other | FL | BCBS FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | UO3068 (Florida) | Secondary |
208M00000X | Hospitalist | OS13272 (Florida) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Michelle Gonsalves, DO 2675 Winkler Ave Fl 2floor, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Michelle Gonsalves, DO 2675 Winkler Ave Fl 2floor, Fort Myers, FL 33901-9342 Ph: (855) 979-5700 |
Dr. Sreedhar Gelli, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Keshia Ferguson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905 Phone: 239-343-9633 Fax: 239-343-4015 | |
Dr. Daniel Morales, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Georgeta Macri, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Dr. Carlos Javier Collado-rivera, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Dr. Aaron Josephson, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Parisima Taeb, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2837 Fax: 239-343-3164 |