| Dr Timothy Gotham, MD | |
|
23450 Via Coconut Pt, Estero, FL 34135-1877 | |
| (239) 468-0150 | |
| (239) 343-4056 |
| Full Name | Dr Timothy Gotham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 23450 Via Coconut Pt, Estero, 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 |
|---|---|---|---|
| 1508139296 | NPI | - | NPPES |
| 113871100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME154825 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Estero, FL | Home health agency |
| Lee Memorial Home Health, Inc. | Fort myers, FL | Home health agency |
| 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 | 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 |
|---|---|
| Dr Timothy Gotham, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 468-0150 | Dr Timothy Gotham, MD 23450 Via Coconut Pt, Estero, FL 34135-1877 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 | |
Martha Barzana-fernandez, Internal Medicine Medicare: Medicare Enrolled 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 | |
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 |