| Hope Hospice And Community Services, Inc | |
|
9470 Healthpark Cir Fort Myers FL 33908-3600 | |
| (239) 433-8073 | |
| (239) 482-7897 |
| Full Name | Hope Hospice And Community Services, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9470 Healthpark Cir, Fort Myers, Florida |
| Authorized Official Name and Position | Samira Beckwith (PRESIDENT/CEO) |
| Authorized Official Contact | 2394338073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Hospice And Community Services, Inc 9470 Healthpark Cir Fort Myers FL 33908-3600 Ph: (239) 433-8073 | Hope Hospice And Community Services, Inc 9470 Healthpark Cir Fort Myers FL 33908-3600 Ph: (239) 433-8073 |
| NPI Number | 1114225745 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 06/13/2011 |
| Medicare PECOS PAC ID | 0941105308 |
|---|---|
| Medicare Enrollment ID | O20031201000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114225745 | NPI | - | NPPES |
| 000901900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9176 (Florida) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | NP972142 (Florida) | Secondary |
| Provider Name | Douglas W David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194932244 PECOS PAC ID: 0941100127 Enrollment ID: I20040113000212 |
| Provider Name | Rafael V Climaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720058902 PECOS PAC ID: 4587637822 Enrollment ID: I20040816000883 |
| Provider Name | Deirdre J Atlas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073659934 PECOS PAC ID: 5799750931 Enrollment ID: I20040831000750 |
| Provider Name | Keith S Susko |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275595159 PECOS PAC ID: 3476506445 Enrollment ID: I20050302000317 |
| Provider Name | Gary E Shidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477523694 PECOS PAC ID: 3375573835 Enrollment ID: I20050816000164 |
| Provider Name | Jacqueline Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679548143 PECOS PAC ID: 7113950858 Enrollment ID: I20050914000282 |
| Provider Name | Holly B Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669795779 PECOS PAC ID: 1658385752 Enrollment ID: I20060127000401 |
| Provider Name | Craig Macarthur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932196029 PECOS PAC ID: 3577562974 Enrollment ID: I20061213000075 |
| Provider Name | Rathna Bushan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780723577 PECOS PAC ID: 2264537471 Enrollment ID: I20070417000566 |
| Provider Name | Luis R Cortes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235148461 PECOS PAC ID: 1355432709 Enrollment ID: I20070814000534 |
| Provider Name | John P Michel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245255520 PECOS PAC ID: 2365532546 Enrollment ID: I20080930000576 |
| Provider Name | Rabia H Khan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124220751 PECOS PAC ID: 8224181334 Enrollment ID: I20090806000174 |
| Provider Name | Susan E Krieger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285961458 PECOS PAC ID: 9638207400 Enrollment ID: I20110127001181 |
| Provider Name | Bakthavatsalam P Vardhini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235304288 PECOS PAC ID: 4284897992 Enrollment ID: I20120516000442 |
| Provider Name | Emiliya S Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124207931 PECOS PAC ID: 4880757053 Enrollment ID: I20120621000599 |
| Provider Name | Trisia S Rutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851585202 PECOS PAC ID: 0749434447 Enrollment ID: I20130205000318 |
| Provider Name | Charles G Newton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1871586727 PECOS PAC ID: 4981639648 Enrollment ID: I20130918000533 |
| Provider Name | Joan V Gibble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184927808 PECOS PAC ID: 4789805342 Enrollment ID: I20141023001005 |
| Provider Name | Marva D Lynch-phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821498098 PECOS PAC ID: 8426375494 Enrollment ID: I20150401000586 |
| Provider Name | Omar Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730555806 PECOS PAC ID: 4486961042 Enrollment ID: I20150914002827 |
| Provider Name | Lisa A Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154731990 PECOS PAC ID: 3779893003 Enrollment ID: I20151117000668 |
| Provider Name | Teresa L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629480603 PECOS PAC ID: 3870899313 Enrollment ID: I20160310000098 |
| Provider Name | Marsha Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114472842 PECOS PAC ID: 8921386848 Enrollment ID: I20161027002443 |
| Provider Name | Alison M Seiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558347195 PECOS PAC ID: 7214114248 Enrollment ID: I20161031000500 |
| Provider Name | Lowell D Kennedy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316215460 PECOS PAC ID: 5698767515 Enrollment ID: I20161229000456 |
| Provider Name | Rosalie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114467024 PECOS PAC ID: 7416224738 Enrollment ID: I20180424000863 |
| Provider Name | Cossette Maiquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548781586 PECOS PAC ID: 8325394786 Enrollment ID: I20180627003381 |
| Provider Name | Diana Khalil |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982054078 PECOS PAC ID: 4082906110 Enrollment ID: I20200528000197 |
| Provider Name | Kalliope M Morrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174874853 PECOS PAC ID: 9638323447 Enrollment ID: I20200630000419 |
| Provider Name | Amy Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215247341 PECOS PAC ID: 8022436831 Enrollment ID: I20200910002079 |
| Provider Name | Mayelin Amoros Duquesne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780170514 PECOS PAC ID: 1254733736 Enrollment ID: I20210706002984 |
| Provider Name | Diana Marion Sitar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174020085 PECOS PAC ID: 1355739798 Enrollment ID: I20211103003205 |
| Provider Name | Tracey Ray Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376882225 PECOS PAC ID: 2567609472 Enrollment ID: I20220712002939 |
| Provider Name | Danay Suarez Falcon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790258051 PECOS PAC ID: 8224410550 Enrollment ID: I20220803002918 |
| Provider Name | Jacinda Hays |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558637793 PECOS PAC ID: 9032353057 Enrollment ID: I20230321000551 |
| Provider Name | Juliann Scharlacken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114623402 PECOS PAC ID: 0648632752 Enrollment ID: I20230821003273 |
| Provider Name | Genoveva De La Cruz Jara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972254266 PECOS PAC ID: 9537695010 Enrollment ID: I20241206002034 |
| Provider Name | Malorie Nicole Saccomani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699233312 PECOS PAC ID: 4385170604 Enrollment ID: I20241210004353 |
| Provider Name | Tenisia Lashae Tyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634648 PECOS PAC ID: 7911436514 Enrollment ID: I20250128001694 |
| Provider Name | Nora Longthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275840209 PECOS PAC ID: 5890811632 Enrollment ID: I20250307000077 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lee Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lee Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |