| Dorothy Dawn Ibasco, APRN | |
|
450 E Merritt Island Cswy Ste 200, Merritt Island, FL 32952-3503 | |
| (321) 735-6220 | |
| (321) 507-4638 |
| Full Name | Dorothy Dawn Ibasco |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 450 E Merritt Island Cswy Ste 200, Merritt Island, 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 |
|---|---|---|---|
| 1356731715 | NPI | - | NPPES |
| 014492800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP 9352814 (Florida) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | APRN9352814 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Pain Relief Group Pllc | 4688960271 | 80 |
| Entity Name | Charles K Friedman Do Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982622775 PECOS PAC ID: 0547240707 Enrollment ID: O20040720001398 |
| Entity Name | Richard L Smith Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427321587 PECOS PAC ID: 9133375900 Enrollment ID: O20120809000761 |
| Entity Name | Legacy Physiatry Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20141014000387 |
| Entity Name | Florida Pain Relief Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Dawn Ibasco, APRN Po Box 947387, Atlanta, GA 30394-7387 Ph: (407) 447-7120 | Dorothy Dawn Ibasco, APRN 450 E Merritt Island Cswy Ste 200, Merritt Island, FL 32952-3503 Ph: (321) 735-6220 |
Mr. Leander Jostin Beams Sr., Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 45 Mcleod St, Merritt Island, FL 32953 Phone: 321-452-2016 | |
Mrs. Cori Megan Daniels, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2409 Willowbrook Rd, Merritt Island, FL 32952 Phone: 321-863-8215 | |
Stephanie Ann Fisher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-633-3162 | |
Nichole E Venzara, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Stewart Dr, Merritt Island, FL 32952 Phone: 321-302-6574 | |
Jamie Maberry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-441-8749 | |
Ms. Mary Ann Davidson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-633-3162 Fax: 321-684-7872 | |
Mrs. Kimberly Deniese Mcdaniel, AUTONOMOUS APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 E Merritt Island Cswy Ste 115, Merritt Island, FL 32952 Phone: 321-349-0642 Fax: 321-349-0643 |