| Desiree Colondres, NP | |
|
6804 Cecelia Drive, New Port Richey, FL 34653-4935 | |
| (855) 232-0644 | |
| (888) 546-0488 |
| Full Name | Desiree Colondres |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6804 Cecelia Drive, New Port Richey, 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 |
|---|---|---|---|
| 1518643311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11027160 (Florida) | Primary |
| 163W00000X | Registered Nurse | RN9409554 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Preferred Care Home Health Services | Fort myers, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne , FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mobile Physician Services Inc | 4688685654 | 39 |
| Careconnectmd Florida P.a. | 7911389838 | 11 |
| Legacy Healthcare Services Inc | 2163339722 | 3431 |
| Entity Name | Mobile Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003002759 PECOS PAC ID: 4688685654 Enrollment ID: O20060505000660 |
| Entity Name | Careconnectmd Florida P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912632886 PECOS PAC ID: 7911389838 Enrollment ID: O20220809000521 |
| Entity Name | Specialized Care Initiative, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255179743 PECOS PAC ID: 2860932647 Enrollment ID: O20240906003528 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Colondres, NP 6804 Cecelia Dr, New Port Richey, FL 34653-4935 Ph: (855) 232-0644 | Desiree Colondres, NP 6804 Cecelia Drive, New Port Richey, FL 34653-4935 Ph: (855) 232-0644 |
Billy Shannon Clay, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 727-232-0644 Fax: 888-546-0488 |
Kelli Horstman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 855-232-0644 Fax: 888-546-0488 |
Mutinta Yvonne Tembo, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9332 State Road 54 Ste 307, New Port Richey, FL 34655 Phone: 727-999-3311 Fax: 727-478-4966 |
Marynith Javelosa De Las Alas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4601 Heavens Way, New Port Richey, FL 34652 Phone: 407-552-9942 |
Devon Glynn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8606 Government Dr Ste 3, New Port Richey, FL 34654 Phone: 727-816-1520 |
Daniel Escalona Escalona, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9852-54 Little Rd, New Port Richey, FL 34654 Phone: 727-425-6902 Fax: 727-425-6759 |
Juliet Fay, CNS, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5207 Trouble Creek Rd, New Port Richey, FL 34652 Phone: 727-847-0125 |