| Thad Kammerlocher, MD | |
|
6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | |
| (239) 936-8555 | |
| (239) 936-5611 |
| Full Name | Thad Kammerlocher |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 34 Years |
| Location | 6821 Palisades Park Ct, 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 |
|---|---|---|---|
| 1326003997 | NPI | - | NPPES |
| 260837 | Other | AVMED | |
| 7267021 | Other | FL | AETNA PROVIDER # |
| 256427100 | Medicaid | FL | |
| 2759634 | Other | FL | CIGNA PROVIDER # |
| 46591 | Other | FL | BCBS PROVIDER # |
| P00449663 | Other | FL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME65374 (Florida) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | ME65374 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Specialists Of Southwest Florida P.a. | 7810958261 | 12 |
| Entity Name | Surgical Specialists Of Southwest Florida P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033103437 PECOS PAC ID: 7810958261 Enrollment ID: O20100510000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Thad Kammerlocher, MD 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 Ph: (239) 936-8555 | Thad Kammerlocher, MD 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 Ph: (239) 936-8555 |
Dr. Scott B Patterson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 Phone: 239-343-3474 Fax: 239-343-2968 | |
Joseph Froilan Yurich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15730 New Hampshire Ct, Fort Myers, FL 33908 Phone: 239-481-0033 Fax: 321-966-8322 | |
Dr. Rachel A Titus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075 | |
Dr. Kendrick D Mcarthur, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 | |
Lilly Ann Bayouth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13685 Doctors Way Ste 100, Fort Myers, FL 33912 Phone: 239-343-1612 Fax: 239-343-4229 | |
Dr. John Anthony Moss, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-936-8555 Fax: 239-936-5611 | |
Dr. Holland Taylor Korbitz, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 Phone: 239-343-9960 Fax: 239-343-9977 |