| Ezechiel Madestin, DNP, APRN, PMHNP-BC | |
|
5813 S Congress Ave, Atlantis, FL 33462-1347 | |
| (561) 797-0724 | |
| (833) 502-4172 |
| Full Name | Ezechiel Madestin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 5813 S Congress Ave, Atlantis, 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 |
|---|---|---|---|
| 1710608344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11021815 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Mindcare Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538907100 PECOS PAC ID: 8426598699 Enrollment ID: O20240913003793 |
| Mailing Address | Practice Location Address |
|---|---|
| Ezechiel Madestin, DNP, APRN, PMHNP-BC 9465 Worswick Ct, Wellington, FL 33414-6423 Ph: (561) 797-0724 | Ezechiel Madestin, DNP, APRN, PMHNP-BC 5813 S Congress Ave, Atlantis, FL 33462-1347 Ph: (561) 797-0724 |
Lori Boldt Drucker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Jfk Dr, Medical Specialists Of The Plam Beaches, Atlantis, FL 33462 Phone: 561-968-6767 Fax: 561-641-0814 | |
Alice Burress, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Jfk Dr, Atlantis, FL 33462 Phone: 561-968-6767 Fax: 561-641-0814 | |
Gandhy Van Meeteren, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Jfk Dr, Atlantis, FL 33462 Phone: 561-313-1023 | |
Mrs. Gesie Oliscat, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5301 S Congress Ave, Atlantis, FL 33462 Phone: 561-965-7300 | |
Edelyne Neas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Jfk Dr, Atlantis, FL 33462 Phone: 561-432-8935 | |
Amanda Bayerlein, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Jfk Dr Ste 311, Atlantis, FL 33462 Phone: 561-434-0353 | |
Miss Kymberlee Potter, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 John F Kennedy Dr Ste 250, Atlantis, FL 33462 Phone: 561-969-1777 Fax: 561-969-3621 |