| Ms Estelita Boholst Dalisay, APRN-C | |
|
36245 Us Hwy 27 N, Haines City, FL 33844-3744 | |
| (863) 421-9801 | |
| Not Available |
| Full Name | Ms Estelita Boholst Dalisay |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 36245 Us Hwy 27 N, Haines City, 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 |
|---|---|---|---|
| 1366846297 | NPI | - | NPPES |
| 106682700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN9209452 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Estelita Boholst Dalisay, APRN-C 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (863) 294-4404 | Ms Estelita Boholst Dalisay, APRN-C 36245 Us Hwy 27 N, Haines City, FL 33844-3744 Ph: (863) 421-9801 |
Monica Anderson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Lake Marion Rd, Haines City, FL 33844 Phone: 863-557-6036 | |
Roseline Blanc, APRN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Ingraham Ave, Haines City, FL 33844 Phone: 866-234-8534 | |
Jacqueline Marie Harrison, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33044 Hwy 27, Haines City, FL 33844 Phone: 863-422-4977 | |
Barry Connor, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Ingraham Ave, Haines City, FL 33844 Phone: 863-421-6565 Fax: 863-421-7474 | |
Mrs. Mitzy Mattei Rivera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 S Dixie Dr # 220, Haines City, FL 33844 Phone: 863-438-2038 Fax: 321-900-4408 | |
Ms. Phomello P Chinheya, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Dr Martin L King Jr Way, Haines City, FL 33844 Phone: 863-353-6853 | |
Lester Yanier Ramos Merayos, APRN, FNP-C. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 33044 Us Hwy 27 N, Haines City, FL 33844 Phone: 863-422-4977 |