| Dr Mary-ellen Adele Edmiston, DO | |
|
331 S Florida Ave Ste 201, Lakeland, FL 33801-4626 | |
| (863) 329-2750 | |
| Not Available |
| Full Name | Dr Mary-ellen Adele Edmiston |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Hospice And Palliative Medicine |
| Location | 331 S Florida Ave Ste 201, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427477470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | OS16990 (Florida) | Primary |
| Entity Name | Chapters Health Palliative Care, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073683553 PECOS PAC ID: 2163516733 Enrollment ID: O20070913000741 |
| Entity Name | Cornerstone Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912327941 PECOS PAC ID: 2668691148 Enrollment ID: O20140916000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary-ellen Adele Edmiston, DO 331 S Florida Ave Ste 201, Lakeland, FL 33801-4626 Ph: (863) 329-2750 | Dr Mary-ellen Adele Edmiston, DO 331 S Florida Ave Ste 201, Lakeland, FL 33801-4626 Ph: (863) 329-2750 |
Danton Manabat Sun, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 | |
Dr. Luis Clyde Favilli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Innovation Dr, Lakeland, FL 33812 Phone: 860-709-1968 Fax: 863-701-2151 | |
Dr. James K Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-284-6800 Fax: 863-687-1033 | |
Alex I Garriga, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813 Phone: 863-644-4547 Fax: 863-701-9453 | |
Dr. Avantica Gondi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803 Phone: 863-210-5640 Fax: 863-210-5716 | |
Dr. Yi Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100 | |
Dr. Melissa Ann Ballengee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 |