| Kailen Gonzalez, PA | |
|
4571 Colonial Blvd Ste 110, Fort Myers, FL 33966-1156 | |
| (786) 218-3593 | |
| Not Available |
| Full Name | Kailen Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 4571 Colonial Blvd Ste 110, Fort Myers, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255607750 | NPI | - | NPPES |
| P01074499 | Other | SC | RAILROAD MEDICARE |
| 956511 | Other | SC | WELLCARE |
| 9673961 | Other | SC | AETNA |
| 111378700 | Medicaid | FL | |
| 1434PA | Medicaid | SC | |
| 3H9GM | Other | FL | BCBS |
| 19BS6 | Other | SC | BCBS |
| 80025208 | Other | SC | SELECT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9113094 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 9113094 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Medical Service Association Inc | 6800790221 | 818 |
| Entity Name | University Medical Service Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
| Entity Name | Millennium Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kailen Gonzalez, PA 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Kailen Gonzalez, PA 4571 Colonial Blvd Ste 110, Fort Myers, FL 33966-1156 Ph: (786) 218-3593 |
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 |