Optum Infusion Services 204, Inc. is an authorized DME supplier for medicare equipments and products.
Optum Infusion Services 204, Inc. is a Home Infusion Therapy Pharmacy in Fort Myers, Florida. It is located at 4220 Executive Circle, Suite 62, Fort Myers and it's customer support contact number is 239-561-2388. The authorized person of Optum Infusion Services 204, Inc. is David John Oberg who is Assistant Secretary of the pharmacy and his contact number is 949-988-5893. Active license number of Optum Infusion Services 204, Inc. is PH26240 for Home Infusion Therapy Pharmacy in Florida. Optum Infusion Services 204, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Optum Infusion Services 204, Inc. is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Pharmacy Details:
Optum Infusion Services 204, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Optum Infusion Services 204, Inc.
Type:
Home Infusion Therapy Pharmacy
Location:
4220 Executive Circle, Suite 62, Fort Myers, Florida, 33916
Phone:
239-561-2388
Fax:
844-830-1983
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
David John Oberg
Position:
Assistant Secretary
Contact Number:
949-988-5893
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 of given pharmacy are as mentioned below.
NPI Number:
1588936785
NPI Enumeration Date:
02 Feb, 2012
NPI Last Update On:
29 Dec, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Optum Infusion Services 204, Inc. are as mentioned below.
Specialization
License Number
State
Status
Home Infusion Therapy Pharmacy
PH26240
Florida
Primary
Home Health
Secondary
Compounding Pharmacy
PH 27821
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
015940200
Medicaid
Florida
015940201
Medicaid
Florida
Medicare Enrollment:
Optum Infusion Services 204, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7416935036
O20121005000111
Ambient Healthcare Of West Florida, Inc.
DME SUPPLIER - PHARMACY
Products Available:
Optum Infusion Services 204, Inc. has following products available for sale under medicare.
Products
Enteral Equipment And/or Supplies
Enteral Nutrients
Infusion Pumps & Supplies: External Infusion
Parenteral Equipment And/or Supplies
Parenteral Nutrients
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4220 Executive Circle, Suite 62, Fort Myers, Florida
Zip:
33916
Phone Number:
239-561-2388
Fax Number:
844-830-1983
Patients can reach Optum Infusion Services 204, Inc. at 4220 Executive Circle, Suite 62, Fort Myers, Florida or can call on customer care at 239-561-2388.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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