| Jason Anthony Moore, PA-C | |
|
13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | |
| (239) 225-1306 | |
| (239) 768-1313 |
| Full Name | Jason Anthony Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 13861 Plantation Rd Ste 104, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902325681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PAT9110628 (Florida) | Primary |
| Entity Name | Fort Myers Internal Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346588621 PECOS PAC ID: 7416196423 Enrollment ID: O20130625000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Anthony Moore, PA-C 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 Ph: (239) 225-1306 | Jason Anthony Moore, PA-C 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 Ph: (239) 225-1306 |
Rebeca Price, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1078 |
Richard Burgess, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3840 Colonial Blvd Ste 1, Fort Myers, FL 33966 Phone: 855-778-6262 Fax: 855-778-3262 |
Mr. Jordan Antonio Facey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12670 Creekside Ln, Fort Myers, FL 33919 Phone: 239-482-2663 Fax: 480-499-8459 |
Olivia Grace Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3650 Colonial Ct, Fort Myers, FL 33913 Phone: 904-534-4749 |
Jamison Dicus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7370 College Pkwy Ste 206, Fort Myers, FL 33907 Phone: 512-730-3056 Fax: 888-730-1925 |
Carolyn Sarah Howell, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2606 Fax: 239-343-3695 |
Steven Milhauser, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2531 Cleveland Ave, Suite 1, Fort Myers, FL 33901 Phone: 239-334-7000 Fax: 239-334-7070 |