| Marc Edwin Mccollaum, PA-C | |
|
11725 Collier Blvd H, Naples, FL 34116-6524 | |
| (239) 349-2500 | |
| (239) 349-2501 |
| Full Name | Marc Edwin Mccollaum |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 11725 Collier Blvd H, Naples, 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 |
|---|---|---|---|
| 1871545046 | NPI | - | NPPES |
| Y08XG | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9102277 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Estates Medical Center Inc | 6800038829 | 3 |
| Entity Name | Estates Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396182317 PECOS PAC ID: 6800038829 Enrollment ID: O20130805000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Edwin Mccollaum, PA-C 11725 Collier Blvd H, Naples, FL 34116-6524 Ph: (239) 349-2500 | Marc Edwin Mccollaum, PA-C 11725 Collier Blvd H, Naples, FL 34116-6524 Ph: (239) 349-2500 |
Ms. Tracy R. Ennis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2235 Venetian Court, Suite 1, Naples, FL 34109 Phone: 239-596-9337 Fax: 239-596-9466 |
Theresa P Vergo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3530 Kraft Rd Ste 300, Naples, FL 34105 Phone: 239-353-6636 Fax: 239-354-1865 |
Christina Tremblay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8625 Collier Blvd, Naples, FL 34114 Phone: 239-732-0044 Fax: 239-732-0094 |
Ms. Alyssa Merin Rothman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7955 Airport-pulling Rd, Ste. 101, Naples, FL 34119 Phone: 239-920-7676 |
Jon Edward Bombero, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 730 Goodlette Rd N, Ste 205, Naples, FL 34102 Phone: 239-436-3666 Fax: 239-436-3678 |
Kristy Landry, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 708 Goodlette Rd, Suite 302,3rd Floor, Naples, FL 34102 Phone: 239-231-7260 Fax: 239-567-3667 |
Mrs. Alicia A Sloan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6376 Pine Ridge Rd Ste 300, Naples, FL 34119 Phone: 239-348-4221 |