| Mr Peter Perou, RPA-C | |
|
23450 Via Coconut Pt, Estero, FL 34135-1877 | |
| (239) 343-9696 | |
| (239) 343-4054 |
| Full Name | Mr Peter Perou |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 23450 Via Coconut Pt, Estero, 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 |
|---|---|---|---|
| 1033345780 | NPI | - | NPPES |
| 130336700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 011081 (New York) | Secondary |
| 363A00000X | Physician Assistant | PA9120012 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| Lee Health System Inc | 9335672146 | 1381 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Ryc Orthopaedics PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942567102 PECOS PAC ID: 2466646039 Enrollment ID: O20101028000523 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Roman Isaac MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467819540 PECOS PAC ID: 8729384466 Enrollment ID: O20160414000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Perou, RPA-C Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-9696 | Mr Peter Perou, RPA-C 23450 Via Coconut Pt, Estero, FL 34135-1877 Ph: (239) 343-9696 |
Victoria Leigh Ade Harvey, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd Ste 1050, Estero, FL 34135 Phone: 239-468-0260 Fax: 239-343-4254 |
Vanessa Weir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd Ste 1600, Estero, FL 34135 Phone: 239-343-6202 Fax: 239-343-4159 |
Emma Katherine Crawford, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 9250 Corkscrew Rd Ste 3, Estero, FL 33928 Phone: 239-514-2225 |
Pedro Ramos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd, Estero, FL 34135 Phone: 239-949-6142 Fax: 239-949-6104 |
Kimberly A Forsti, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd, Estero, FL 34135 Phone: 239-949-6142 Fax: 239-949-6104 |
Kaitlyn E Kaiser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0145 Fax: 239-343-4054 |
Sandra Maidwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8440 Murano Del Lago Dr, Estero, FL 34135 Phone: 239-221-5402 Fax: 833-411-0515 |