MEDICARE: DARWICH E BEJANY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME 41412	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	P01652197	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	004308	OTHER	FL	NHP
2	96734	OTHER	FL	BCBS
3	P971568	OTHER	FL	OPTIMUM
4	0230593	OTHER	FL	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	222262	OTHER	FL	AVMED
7	4809	OTHER	FL	DIMENSION
8	P1035802	OTHER	FL	FREEDOM
9	2423290	OTHER	FL	AETNA
10	4467792	OTHER	FL	AETNA
11	96734	OTHER	FL	BLUE CROSS BLUE SHIELD
13	P01715294	OTHER	FL	SIMPLY
14	22390	OTHER	FL	WELLCARE

General Provider Information

NPI Number	:	1164494852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARWICH E BEJANY MD

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:	ATTN: PAYER CONTRACTING & RELATIONS DEPT.
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1412
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	3659 S MIAMI AVE STE 2001
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4254
Country	:	US
Telephone Number	:	305-324-7444
Fax Number	:	305-324-9224

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	05/28/2019

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Directions to “ DARWICH E BEJANY MD” Practice Location

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