| Carolyn L Deloache, MSN ARNP | |
|
850 E Main St, Lake Butler, FL 32054-1353 | |
| (386) 496-2323 | |
| (352) 495-3401 |
| Full Name | Carolyn L Deloache |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 850 E Main St, Lake Butler, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740253780 | NPI | - | NPPES |
| 59-Q22623 | Other | FL | CHAMPION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1699072 (Florida) | Primary |
| Entity Name | Medlink Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972272 PECOS PAC ID: 2466360797 Enrollment ID: O20040227000090 |
| Entity Name | Emergency Medical Specialists Of Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
| Entity Name | Simedhealth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639680127 PECOS PAC ID: 6608137054 Enrollment ID: O20180227000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn L Deloache, MSN ARNP 130 Sw 123rd St, Newberry, FL 32669-3005 Ph: (352) 332-4541 | Carolyn L Deloache, MSN ARNP 850 E Main St, Lake Butler, FL 32054-1353 Ph: (386) 496-2323 |
Laura Caswell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 601-291-3146 | |
Ms. Andrea E Waterhouse, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 395 W Main St, Lake Butler, FL 32054 Phone: 386-496-3154 Fax: 386-496-1246 | |
Karl Hudson Dupont, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 386-496-6000 | |
Cheryl Anderson Caska, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 East Main Street, Lake Butler, FL 32054 Phone: 386-496-2323 | |
Gloria Lynn Niquette, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 155 Se 6th Pl, Lake Butler, FL 32054 Phone: 386-496-1236 | |
Mrs. Jamie Lynn Parrish, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15995 W State Road 238, Lake Butler, FL 32054 Phone: 386-496-9006 Fax: 844-276-8610 | |
Mr. Jon David Johnson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 E Main St, Lake Butler, FL 32054 Phone: 386-496-3211 Fax: 386-496-1599 |