| Mr Arnold William Facklam Iii, APRN | |
|
5216 Clayton Court, Fort Myers, FL 33907 | |
| (239) 343-8260 | |
| (239) 343-8261 |
| Full Name | Mr Arnold William Facklam Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 5216 Clayton Court, Fort Myers, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356509129 | NPI | - | NPPES |
| 016126500 | Medicaid | FL | |
| J400001352 | Other | NY | MEDICARE PTAN OBS ASSOCIATES U OF R |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN325609 (Georgia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | APRN9420829 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group Georgia | 4587676945 | 105 |
| Entity Name | Apogee Medical Group Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Arnold William Facklam Iii, APRN P.o. Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-8260 | Mr Arnold William Facklam Iii, APRN 5216 Clayton Court, Fort Myers, FL 33907 Ph: (239) 343-8260 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Barkley Cir Ste 201, Fort Myers, FL 33907 Phone: 239-603-7303 Fax: 239-603-7107 | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 | |
Violeta Fay Marie Calhoun, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9369 Golden Rain Ln, Fort Myers, FL 33967 Phone: 239-410-6584 Fax: 727-954-6546 | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101 | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 | |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 | |
Denise M Mcpherson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8250 Fax: 239-343-8249 |