Jack G Beaulieu (NPI# 1528064086, PAC ID# 8628261617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1528064086 |
| PAC ID by PECOS | 8628261617 |
| Professional Enrollment ID | I20101022000503 |
| Full Name | Jack G Beaulieu |
| Organization Legal Name | DEIORIO BEAULIEU AND FULLER |
| Address |
657 Del Prado Blvd S Cape Coral FL 33990-2666 |
| Phone Number | 2397724484 |
| Gender | M |
| Graduation Year | 1971 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3870516362 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 | 2397724484 | DEIORIO BEAULIEU AND FULLER |
| Organization Legal Name | DEIORIO BEAULIEU AND FULLER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrick T Saunders | Orthopedic Surgery | Deiorio Beaulieu and Fuller | 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 |
| Donn Owen Fuller | Orthopedic Surgery | Deiorio Beaulieu and Fuller | 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 |
| Michael Robert Black | Podiatry | Deiorio Beaulieu and Fuller | 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 |
| Street Address |
657 DEL PRADO BLVD S |
| City | CAPE CORAL |
| State | FL |
| Zip | 33990-2666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrick T Saunders | Orthopedic Surgery | Deiorio Beaulieu and Fuller | 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 |
| Donn Owen Fuller | Orthopedic Surgery | Deiorio Beaulieu and Fuller | 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 |
| Michael Robert Black | Podiatry | Deiorio Beaulieu and Fuller | 657 Del Prado Blvd S, Cape Coral, FL 33990-2666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois M Harriman | Nurse Practitioner | Saluscare, Inc | 1105 Cultural Park Blvd, Cape Coral, FL 33990-1217 |
| Sarajane Johnson | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Nicola Mckellop | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Kimberly A Burgess | Physician Assistant | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Carole Mclane | General Practice | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Khoa Dang Nguyen | Podiatry | Family Foot and Leg Center Pa | 530 Se 16th Pl, Suite A, Cape Coral, FL 33990-1656 |
| Edward Frank Drass | Family Medicine | 530 Se 16th Place, Suite B, Cape Coral, FL 33990-1656 | |
| Jose F Perez | Internal Medicine | 602 Se 16th Pl, Cape Coral, FL 33990-1684 | |
| Ariel Figueredo | Obstetrics/gynecology | 602 Se16th Pl, Cape Coral, FL 33990-1684 | |
| Larry Dean Johnson | Chiropractic | 1510 Hancock Bridge Pkwy, Suite 6, Cape Coral, FL 33990-1715 | |
| Find all physicians in zip 33990 | |||
| City | CAPE CORAL |
| Zip Code | 33990 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CAPE CORAL + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jack G Beaulieu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.