Mr Matthew G Fortino, | |
8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905-7810 | |
(239) 343-3831 | |
(239) 343-9498 |
Full Name | Mr Matthew G Fortino |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 8960 Colonial Center Dr Ste 300, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396296968 | NPI | - | NPPES |
931026892 | Other | NY | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY12541 (Florida) | Secondary |
103T00000X | Psychologist | PY12541 (Florida) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
Entity Name | Lee Health System Inc |
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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 Matthew G Fortino, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-9470 | Mr Matthew G Fortino, 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905-7810 Ph: (239) 343-3831 |
Dr. Jill Dea Sanders, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3949 Evans Ave, Suite 105, Fort Myers, FL 33901 Phone: 239-789-5078 | |
Dr. Gisel Ivette Mendez-cordero, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8240 Fax: 239-468-7906 | |
Dr. Marisa Bermudez, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12499 Brantley Commons Ct Ste 101, Fort Myers, FL 33907 Phone: 239-278-3443 Fax: 239-278-3550 | |
Kim Shimoda, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5333 Fax: 239-343-5321 | |
Dr. Pasquale Angelo Capozzoli, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5290 Summerlin Commons Way Ste 1002, Fort Myers, FL 33907 Phone: 239-274-7792 Fax: 239-247-5344 | |
Melissa Anne Swartz, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5333 Fax: 239-343-5484 | |
Sarah K Romero-rodriguez, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9800 S Healthpark Dr Ste 205, Fort Myers, FL 33908 Phone: 239-343-7130 Fax: 239-343-7185 |