Optum Infusion Services 204, Inc is a medical equipment supplier participated in Medicare, by U.S Centers for Medicare & Medicaid Services (CMS). The Provider Transaction Access Number (PTAN) is #4680040003. The address is 4220 Executive Cir, Ste 62, Fort Myers, FL 33916-8005.
| Provider Transaction Access Number (PTAN) | 4680040003 |
| Practice Name | OPTUM INFUSION SERVICES 204 INC |
| Business Name | OPTUM INFUSION SERVICES 204, INC |
| Address |
4220 Executive Cir Ste 62 Fort Myers FL 33916-8005 |
| Telephone | 2395612388 |
| Participation Begin Date | 2021-05-06 |
| Specialities List | Pharmacy |
| Supplies List |
Immunosuppressive Drugs Infusion Drugs External Infusion Pumps and/or Supplies Implanted Infusion Pumps and/or Supplies Enteral Nutrients Enteral Equipment and/or Supplies Parenteral Nutrients Parenteral Equipment and/or Supplies Surgical Dressings |
| Accepts Assignement | True |
| Contracted for Competitive Bidding Area (CBA) | False |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Optum Infusion Services 204, Inc · Optum Infusion Services 204 Inc | 8509 Benjamin Rd, Ste A, Tampa, FL 33634-1224 | 8138865866 | 2021-05-06 |
| Optum Infusion Services 204, Inc · Optum Infusion Services 204 Inc | 201 N Tarragona St, Pensacola, FL 32502-4843 | 8504301259 | 2021-05-06 |
| Street Address |
4220 EXECUTIVE CIR STE 62 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-8005 |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| National Seating & Mobility Inc · National Seating & Mobility, Inc. | 4300 Ford Street Ext., Unit 101, Fort Myers, FL 33916-9318 | 2399367070 | 2001-01-01 |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Walgreen Co · Walgreens #12722 | 9150 Kings Crossing Rd, Fort Myers, FL 33912-0848 | 2392841702 | 2020-03-01 |
| Walgreen Co · Walgreen Pahrm 3356 | 15601 San Carlos Blvd, Fort Myers, FL 33908-2570 | 2394892223 | 2020-03-01 |
| Walgreen Co · Walgreens #6913 | 15900 Summerlin Rd, Fort Myers, FL 33908-3605 | 2394816482 | 2020-03-01 |
| Walgreen Co · Walgreens #7085 | 6790 Daniels Pkwy, Fort Myers, FL 33912-7521 | 2394334091 | 2020-03-01 |
| Lee Memorial Health System · Lee Pharmacy 3 | 13681 Doctor's Way, Fort Myers, FL 33912-4300 | 2393431600 | 2019-01-17 |
| Walgreen Co · Walgreens #10964 | 10672 Colonial Blvd, Fort Myers, FL 33913-8701 | 2392250216 | 2020-03-01 |
| Walgreen Co · Walgreens #2941 | 3593 Cleveland Ave, Fort Myers, FL 33901-7975 | 2399364741 | 2020-03-01 |
| Option Care Enterprises Inc | 14580 Global Parkway, Suite 108, Fort Myers, FL 33913-8887 | 2395613456 | 2021-01-01 |
| Walgreen Co · Walgreens #3099 | 1525 Colonial Blvd, Fort Myers, FL 33907-1021 | 2399392191 | 2020-03-01 |
| Walgreen Co · Walgreens #11535 | 3501 Unique Circle, Fort Myers, FL 33908-4711 | 2392713924 | 2020-03-01 |
| Find all suppliers in the same city | |||
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Optum Infusion Services 401 LLC | 455 Reservation Rd, Ste G, Marina, CA 93933-3328 | 8313848080 | 2016-10-28 |
| Optum Infusion Services 103 LLC | 9204 Berger Rd, Ste A, Columbia, MD 21046-1729 | 8007156650 | 2010-02-01 |
| Optum Infusion Services 305 LLC | 15529 College Blvd, Lenexa, KS 66219-1351 | 8773429352 | 2009-06-01 |
| Optum Infusion Services 500 Inc · Optum Infusion Services 500, Inc. | 1893 General George Patton Dr, Ste 100, Franklin, TN 37067-2790 | 8445797786 | 2017-08-11 |
| Optum Infusion Services 500 Inc · Optum Infusion Services 500, Inc. | 33 N Plains Industrial Rd, Ste B, Wallingford, CT 06492-5841 | 8008425720 | 2017-08-11 |
| Optum Infusion Services 308 LLC | 460 S. Benson Lane, Ste 11-12, Chandler, AZ 85224-5663 | 8887054470 | 2017-01-01 |
| Optum Infusion Services 302 LLC | 8720 S 114th St, Ste 106, La Vista, NE 68128-5585 | 4023315086 | 2010-02-17 |
| Optum Infusion Services 402, LLC | 2300 Main St, Ste 150, Irvine, CA 92614-6223 | 5622635600 | 2009-09-21 |
| Optum Infusion Services 401 LLC | 4610 Northgate Blvd, Ste 130, Sacramento, CA 95834-1154 | 9166480124 | 2016-10-28 |
| Optum Infusion Services 308 LLC · Optum Infusion Services 308, LLC | 2420 Comanche Rd Ne, Ste A5, Albuquerque, NM 87107-4754 | 5058301800 | 2017-01-01 |
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This dataset includes 60 thousand medical equipment suppliers participated in Medicare, provided by U.S Centers for Medicare & Medicaid Services (CMS). The information on medical equipment suppliers include Provider Transaction Access Number (PTAN), business name, practice name, address, phone number, etc.