| Bryan R Lopez Ortiz, | |
|
708 Del Prado Blvd S Ste 9, Cape Coral, FL 33990-2633 | |
| (239) 424-2440 | |
| (239) 343-4258 |
| Full Name | Bryan R Lopez Ortiz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 708 Del Prado Blvd S Ste 9, Cape Coral, 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 |
|---|---|---|---|
| 1326817388 | NPI | - | NPPES |
| 121313000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA9118453 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lee Health System Inc | 9335672146 | 1153 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan R Lopez Ortiz, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-2440 | Bryan R Lopez Ortiz, 708 Del Prado Blvd S Ste 9, Cape Coral, FL 33990-2633 Ph: (239) 424-2440 |
Mr. Jonathan Cleon Hendricks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Boulevard, Cape Coral, FL 33990 Phone: 239-424-2222 | |
Kristen Jeanine Nearing, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3513 | |
Summer Stagman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990 Phone: 239-424-2755 | |
Miss Kimberly Ann Burgess, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2656 Blue Cypress Lake Ct, Cape Coral, FL 33909 Phone: 954-448-5636 | |
Tara Michelle Stepp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1682 Ne Pine Island Rd, Cape Coral, FL 33909 Phone: 239-424-1655 Fax: 239-424-1649 | |
Mr. Alexander Gregory Waelchli, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2000 | |
Nisha Patel Gupta, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2000 |