| Todd A Pezzi, MD | |
|
25243 Elementary Way, Bonita Springs, FL 34135-7898 | |
| (239) 317-2772 | |
| (239) 676-7637 |
| Full Name | Todd A Pezzi |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 8 Years |
| Location | 25243 Elementary Way, Bonita Springs, 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 |
|---|---|---|---|
| 1336674431 | NPI | - | NPPES |
| 114722000 | Medicaid | FL | |
| A2YX3 | Other | FL | FL BLUE |
| PJ770 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | ME153410 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Naples Community Hospital | Naples, FL | Hospital |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Radiation Oncology Llc | 1658613096 | 20 |
| Entity Name | Advocate Radiation Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841753969 PECOS PAC ID: 1658613096 Enrollment ID: O20190503001772 |
| Entity Name | Proton Fusion Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093524167 PECOS PAC ID: 6002346715 Enrollment ID: O20250211002011 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd A Pezzi, MD 1860 Boy Scout Dr Ste 201, Fort Myers, FL 33907-2119 Ph: (239) 215-1180 | Todd A Pezzi, MD 25243 Elementary Way, Bonita Springs, FL 34135-7898 Ph: (239) 317-2772 |
Mr. Angelo Joseph Zappala, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd, Bonita Springs, FL 34135 Phone: 239-949-1050 Fax: 239-949-6111 | |
Dr. Donald Raymond Sugarman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3314 Montara Dr, Bonita Springs, FL 34134 Phone: 239-495-6199 | |
Dr. Sonal Sura, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8991 Brighton Ln, Bonita Springs, FL 34135 Phone: 239-593-3030 | |
Dr. Thomas P Lynch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3490 Ballybridge Cir Apt 201, Bonita Springs, FL 34134 Phone: 865-567-9877 | |
Donna M Taulbee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28604 Via D Arezzo Dr, Bonita Springs, FL 34135 Phone: 239-593-5570 |