| Sherrie Bast, | |
|
117 S Lake Dr, Leesburg, FL 34788-2680 | |
| (352) 874-1610 | |
| Not Available |
| Full Name | Sherrie Bast |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 117 S Lake Dr, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780208454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW17286 (Florida) | Primary |
| Entity Name | Sailor Health Medical, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841012960 PECOS PAC ID: 4486182342 Enrollment ID: O20250207003472 |
| Mailing Address | Practice Location Address |
|---|---|
| Sherrie Bast, 117 S Lake Dr, Leesburg, FL 34788-2680 Ph: (352) 874-1610 | Sherrie Bast, 117 S Lake Dr, Leesburg, FL 34788-2680 Ph: (352) 874-1610 |
Dolores Degiacomo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2129 Aitkin Loop, Leesburg, FL 34748 Phone: 917-270-7027 | |
Mr. Robert Loy Campbell Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 711 W Main St, Leesburg, FL 34748 Phone: 352-435-4000 Fax: 352-435-4015 | |
Mrs. Carolyn Mae Dower, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 33057 Professional Dr, #102, Leesburg, FL 34788 Phone: 352-787-0081 Fax: 352-314-9444 | |
Marcia Lynn Hilty, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8136 Centralia Ct Ste 101, Leesburg, FL 34788 Phone: 800-614-4124 Fax: 888-217-4124 | |
Joellen Revell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Leesburg, FL 34748 Phone: 352-315-7500 | |
Terrence Manuel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 | |
Nathalie Austion-ivory, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582 |