| Amanda Dibenedetto, APRN | |
|
301 Health Park Blvd Ste 219, St Augustine, FL 32086-5795 | |
| (904) 819-9898 | |
| (877) 355-2282 |
| Full Name | Amanda Dibenedetto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 301 Health Park Blvd Ste 219, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922898063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9646453 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11040506 (Florida) | Primary |
| Entity Name | Womens Care Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
| Entity Name | Womens' Health Hospitalists, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Dibenedetto, APRN Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Amanda Dibenedetto, APRN 301 Health Park Blvd Ste 219, St Augustine, FL 32086-5795 Ph: (904) 819-9898 |
Dr. Lilia Diaz Pino, PH.D., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 866-389-2727 |
Mrs. Yvonne Derickson, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 Ashourian Ave Ste 209, St Augustine, FL 32092 Phone: 904-800-7246 Fax: 904-299-4116 |
Rezwana Chowdhury, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Tidal Beach Ave, St Augustine, FL 32095 Phone: 804-852-2497 |
Mrs. Kelly Auclair, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 316 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 903-544-5800 Fax: 903-544-5800 |
Kay Lewis Hood, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Whitehall Dr, St Augustine, FL 32086 Phone: 904-800-7246 |
Joann Fritsch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, St Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 |
Rachel Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 352-373-2507 |