| Chace Nacke, | |
|
367 W Oak Hill Rd, Mount Dora, FL 32757-4639 | |
| (352) 409-7944 | |
| Not Available |
| Full Name | Chace Nacke |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 367 W Oak Hill Rd, Mount Dora, Florida |
| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982560611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11044380 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Sumter Urology, Llc | 2961896923 | 5 |
| Entity Name | Lake Sumter Urology, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285385401 PECOS PAC ID: 2961896923 Enrollment ID: O20220308002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Chace Nacke, 367 W Oak Hill Rd, Mount Dora, FL 32757-4639 Ph: Not Available | Chace Nacke, 367 W Oak Hill Rd, Mount Dora, FL 32757-4639 Ph: (352) 409-7944 |
Ms. Carol J Kirkland, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495 |
Stacy Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 |
Kristen Ross, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Wolf Ridge Ln, Mount Dora, FL 32757 Phone: 352-219-2215 |
Sharon Molok, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 |
Mrs. Anna Nora Walls, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 |
Juanita Christine Robbins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6909 Old Highway 441 S Ste 105, Mount Dora, FL 32757 Phone: 352-800-5101 |
Mycose Laurent, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4979 Golden Zenith Way, Mount Dora, FL 32757 Phone: 954-479-0814 |