| Da'twan Laurice Mathis, APRN | |
|
517 Buena Vista St, Lakeland, FL 33805-4504 | |
| (863) 688-3674 | |
| Not Available |
| Full Name | Da'twan Laurice Mathis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 517 Buena Vista St, Lakeland, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346973187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11020672 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11020672 (Florida) | Primary |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| 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 |
| Entity Name | Vitae Health Medical Florida PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013562024 PECOS PAC ID: 6204166762 Enrollment ID: O20190925003271 |
| Entity Name | Mastering Mental Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831954387 PECOS PAC ID: 8224561071 Enrollment ID: O20241031002383 |
| Mailing Address | Practice Location Address |
|---|---|
| Da'twan Laurice Mathis, APRN 517 Buena Vista St, Lakeland, FL 33805-4504 Ph: (863) 688-3674 | Da'twan Laurice Mathis, APRN 517 Buena Vista St, Lakeland, FL 33805-4504 Ph: (863) 688-3674 |
Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765 |
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881 |
Jennifer Glisson Frasier, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-687-8335 |
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519 |
Courtney Ann Wight, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1611 Harden Blvd, Lakeland, FL 33803 Phone: 813-701-5804 Fax: 813-291-7615 |
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387 |
Mr. Tami Lynn Hower, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1321 Fax: 863-603-6534 |