| The Mcgregor Clinic, Inc | |
|
3487 Broadway Fort Myers FL 33901-7213 | |
| (239) 334-9555 | |
| (239) 334-2832 |
| Full Name | The Mcgregor Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3487 Broadway, Fort Myers, Florida |
| Authorized Official Name and Position | Bert Thomas Hammond (CEO) |
| Authorized Official Contact | 2393349555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mcgregor Clinic, Inc 3487 Broadway Fort Myers FL 33901-7213 Ph: (239) 334-9555 | The Mcgregor Clinic, Inc 3487 Broadway Fort Myers FL 33901-7213 Ph: (239) 334-9555 |
| NPI Number | 1518065440 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 01/20/2022 |
| Medicare PECOS PAC ID | 7810164688 |
|---|---|
| Medicare Enrollment ID | O20120118000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518065440 | NPI | - | NPPES |
| 256844600 | Medicaid | FL | |
| 034993639 | Other | FL | DUNS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kelly J Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568658383 PECOS PAC ID: 5698930741 Enrollment ID: I20140806001345 |
| Provider Name | Derek W Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053753137 PECOS PAC ID: 8022236496 Enrollment ID: I20140826002537 |
| Provider Name | John-paul Bettencourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598025462 PECOS PAC ID: 9133429400 Enrollment ID: I20221014002232 |
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 |