| Heather Renee Teel, | |
|
247 August Fern Loop, Mount Dora, FL 32757-2806 | |
| (321) 663-3268 | |
| Not Available |
| Full Name | Heather Renee Teel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 247 August Fern Loop, Mount Dora, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205647161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11037226 (Florida) | Primary |
| Entity Name | Revive Transitional Care And In Home Primary Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851096796 PECOS PAC ID: 3870950868 Enrollment ID: O20230607000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Renee Teel, 247 August Fern Loop, Mount Dora, FL 32757-2806 Ph: (321) 663-3268 | Heather Renee Teel, 247 August Fern Loop, Mount Dora, FL 32757-2806 Ph: (321) 663-3268 |
Ms. Carol J Kirkland, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495 | |
Stacy Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 | |
Kristen Ross, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Wolf Ridge Ln, Mount Dora, FL 32757 Phone: 352-219-2215 | |
Sharon Molok, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 | |
Mrs. Anna Nora Walls, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 | |
Juanita Christine Robbins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6909 Old Highway 441 S Ste 105, Mount Dora, FL 32757 Phone: 352-800-5101 | |
Amber Renae Sanford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2255 Crescent Dr, Mount Dora, FL 32757 Phone: 352-838-3826 |