| Angela Michelle Davis, | |
|
1589 Se Belcrest St, Port Saint Lucie, FL 34952-7833 | |
| (772) 370-1655 | |
| Not Available |
| Full Name | Angela Michelle Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1589 Se Belcrest St, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043972318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11015742 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Memorial Medical Center Inc | 2961300611 | 445 |
| Entity Name | Martin Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241 |
| Entity Name | Martin Memorial Physician Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Michelle Davis, 1589 Se Belcrest St, Port Saint Lucie, FL 34952-7833 Ph: (772) 370-1655 | Angela Michelle Davis, 1589 Se Belcrest St, Port Saint Lucie, FL 34952-7833 Ph: (772) 370-1655 |
Shannon Louise Schaal, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3974 Sw Wycoff St, Port Saint Lucie, FL 34953 Phone: 772-201-4188 | |
Yolette Jean-louis Martelly, AGPCNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7009 Maidstone Dr, Port Saint Lucie, FL 34986 Phone: 561-633-1829 | |
Claudia Patricia Santamaria, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8483 S Us Highway 1 Ste 19, Port Saint Lucie, FL 34952 Phone: 772-873-1770 Fax: 772-873-1781 | |
Christie Faye Rodriguez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10023 S Us Highway 1 Ste A, Port Saint Lucie, FL 34952 Phone: 772-398-5339 | |
Mrs. Jackeline Conde, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Sw Glenview Ct, Suites 812 And 814, Port Saint Lucie, FL 34953 Phone: 772-240-7822 | |
Dan Asher Miller, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2038 Se North Blackwell Dr, Port Saint Lucie, FL 34952 Phone: 772-408-3055 |