| Sandra Caulfield, PA | |
|
3571 Del Prado Blvd N Ste 2, Cape Coral, FL 33909-5287 | |
| (239) 656-6300 | |
| (239) 656-6765 |
| Full Name | Sandra Caulfield |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 3571 Del Prado Blvd N Ste 2, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548210008 | NPI | - | NPPES |
| Y0H8W | Other | FL | FLORIDA BLUE |
| 970029584 | Other | FL | RR MEDICARE |
| 291202300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA3196 (Florida) | Primary |
| Entity Name | Millennium Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Caulfield, PA 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (239) 656-6300 | Sandra Caulfield, PA 3571 Del Prado Blvd N Ste 2, Cape Coral, FL 33909-5287 Ph: (239) 656-6300 |
Navya Miryala, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2125 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-458-1131 |
Mr. Jonathan Cleon Hendricks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Boulevard, Cape Coral, FL 33990 Phone: 239-424-2222 |
Kristen Jeanine Nearing, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3513 |
Summer Stagman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990 Phone: 239-424-2755 |
Miss Kimberly Ann Burgess, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2656 Blue Cypress Lake Ct, Cape Coral, FL 33909 Phone: 954-448-5636 |
Tara Michelle Stepp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1682 Ne Pine Island Rd, Cape Coral, FL 33909 Phone: 239-424-1655 Fax: 239-424-1649 |
Mr. Alexander Gregory Waelchli, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2000 |