| Andrea Lee Ellison, ARNP | |
|
5500 Stadium Pkwy Ste 101, Melbourne, FL 32940-8095 | |
| (321) 306-5510 | |
| Not Available |
| Full Name | Andrea Lee Ellison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5500 Stadium Pkwy Ste 101, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447507181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP2151372 (Florida) | Primary |
| Entity Name | Medfast Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Lee Ellison, ARNP 5500 Stadium Pkwy, Melbourne, FL 32940-8422 Ph: (321) 306-5510 | Andrea Lee Ellison, ARNP 5500 Stadium Pkwy Ste 101, Melbourne, FL 32940-8095 Ph: (321) 306-5510 |
Mrs. Dawn P Hamel, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2290 W Eau Gallie Blvd, Melbourne, FL 32935 Phone: 321-435-1505 Fax: 321-426-7446 | |
Mrs. Stephanie Louise Battaglini, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3452 Fax: 321-434-3456 | |
Tiffani Davidson, APRN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564 | |
William Brandon Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 | |
Stacyann Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2626 Florencia Pl, Melbourne, FL 32940 Phone: 305-338-5141 | |
Cynthia Parsons Hall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1335 Valentine St, Melbourne, FL 32901 Phone: 321-586-5444 Fax: 321-586-5444 | |
Michele Anne Mccarthy-lavish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Melbourne, FL 32901 Phone: 321-549-0752 Fax: 321-952-2330 |