| Annie Blystone, | |
|
7425 N University Dr, Tamarac, FL 33321-2901 | |
| (954) 247-4627 | |
| (603) 461-3545 |
| Full Name | Annie Blystone |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 7425 N University Dr, Tamarac, 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 |
|---|---|---|---|
| 1104617513 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Balanced Wellbeing Llc | 5193021848 | 228 |
| Mosaic Community Health | 5395653497 | 78 |
| Entity Name | Balanced Wellbeing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Blystone, Po Box 4228, Portland, OR 97208-4228 Ph: (541) 617-5369 | Annie Blystone, 7425 N University Dr, Tamarac, FL 33321-2901 Ph: (954) 247-4627 |
Tessa Yeganeh Shivazad, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 Primrose Ln, Tamarac, FL 33321 Phone: 954-670-4640 |
Giselle Leon Parra, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7950 N Nob Hill Rd Apt 201, Tamarac, FL 33321 Phone: 754-248-5755 |
Katherine E Flannery Reeves, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5870 Hiatus Rd, Tamarac, FL 33321 Phone: 800-424-3672 Fax: 954-377-3042 |
Ms. Patricia C Perez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6463 W Commercial Blvd, Tamarac, FL 33319 Phone: 954-720-1414 Fax: 954-720-4727 |
Ms. Nathalie Dagobert, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8400 N University Dr Ste 210, Tamarac, FL 33321 Phone: 954-793-1176 |
Karohel Harrison, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4707 Nw 59th St, Tamarac, FL 33319 Phone: 954-908-9738 |
Silvia T Mathew, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9800 W Commercial Blvd, Tamarac, FL 33351 Phone: 954-625-8683 |