| Jack Koburger, PA-C | |
|
636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | |
| (239) 424-3513 | |
| Not Available |
| Full Name | Jack Koburger |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 636 Del Prado Blvd S, 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 |
|---|---|---|---|
| 1538057153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9120347 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Coral Emergency Physicians Llc | 1557465325 | 11 |
| Entity Name | Cape Coral Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376611962 PECOS PAC ID: 1557465325 Enrollment ID: O20070404000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Koburger, PA-C 6796 Smokerise Dr, Macclenny, FL 32063-5256 Ph: (904) 312-2297 | Jack Koburger, PA-C 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 Ph: (239) 424-3513 |
Navya Miryala, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2125 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-458-1131 |
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: May Accept Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3513 |
Summer Stagman, Physician Assistant Medicare: Accepting Medicare Assignments 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: Not Enrolled in Medicare 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 |