| Keri Mack, PA-C | |
|
7451 Gladiolus Dr, Fort Myers, FL 33908 | |
| (239) 689-8800 | |
| (239) 790-5471 |
| Full Name | Keri Mack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 7451 Gladiolus Dr, 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 |
|---|---|---|---|
| 1578913992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109378 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Medical Center | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesiscare Usa Of Florida Llc | 9830082882 | 172 |
| Entity Name | Genesiscare USA of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Mack, PA-C 2160 Colonial Blvd, Fort Myers, FL 33907-1410 Ph: (239) 931-7342 | Keri Mack, PA-C 7451 Gladiolus Dr, Fort Myers, FL 33908 Ph: (239) 689-8800 |
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 |