Irina F Gershin-stevens

DO | Pediatric Nephrology | Female

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Complete Profile:

Irina F Gershin-stevens basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Irina F Gershin-stevens
Credential :	DO
Gender :	Female

Business Address:

Irina F Gershin-stevens address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	15901 Bass Rd Ste 102 Fort Myers, FL, 33908-3838 United States
Phone Number :	239-343-9890
Fax Number :	239-343-9898

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1629094735
NPI Entity Type :	Individual
First Enrolment Date :	14 Jul, 2006
Last Updated On :	25 Mar, 2021

Medicare Participation:

Irina F Gershin-stevens participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0840298998
Medicare Enrollment ID :	I20100215000271
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1983
Accepts Medicare?	Yes. Irina F Gershin-stevens accepts medicare insurance.

Group Practice Association:

Irina F Gershin-stevens is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Irina F Gershin-stevens is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Lee Memorial Health System	8729996608	925	15901 Bass Rd Suite 102 Fort Myers, FL - 339083838 Ph: 2393439890	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Irina F Gershin-stevens are as mentioned. Primary taxonomy code for Irina F Gershin-stevens, DO is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	OS10700	FL
2080P0210X	Pediatrics Pediatric Nephrology	No	225785	NY

Legacy Identifiers:

Other legacy medical identifiers of Irina F Gershin-stevens such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
001529200	MEDICAID	FL
02798516	MEDICAID	NY

Other Practice Locations:

Practice Address	City, State	Phone Number
16261 BASS RD STE 100, FORT MYERS, FL, 33908-3671 United States	FORT MYERS, FL	239-343-9890

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 2147 Fort Myers, FL, 33902-2147 United States
Phone Number :	239-343-9890
Fax Number :	239-343-9898

Business Location:

Patients can refer following map for directions to Irina F Gershin-stevens practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.