| Mr Christopher Alfonso Mallari, PA-C | |
|
13782 Plantation Rd, Building 4, Suite 201, Fort Myers, FL 33912-4462 | |
| (239) 343-1105 | |
| (239) 343-1106 |
| Full Name | Mr Christopher Alfonso Mallari |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 13782 Plantation Rd, Fort Myers, 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 |
|---|---|---|---|
| 1154396661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9103134 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Medical Center | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Radiology Consultants P A | 3678471943 | 70 |
| Entity Name | Florida Radiology Consultants P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518911668 PECOS PAC ID: 3678471943 Enrollment ID: O20031223000475 |
| Entity Name | Florida Radiology Leasing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518907823 PECOS PAC ID: 1759327356 Enrollment ID: O20050706000059 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Alfonso Mallari, PA-C 8791 Conference Dr Ste 100, Fort Myers, FL 33919-5822 Ph: (239) 344-9327 | Mr Christopher Alfonso Mallari, PA-C 13782 Plantation Rd, Building 4, Suite 201, Fort Myers, FL 33912-4462 Ph: (239) 343-1105 |
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 |