| Jacqueline Dimalanta Poletes, APRN | |
|
953 E Del Webb Blvd, Sun City Center, FL 33573-6669 | |
| (813) 634-6880 | |
| (813) 634-6833 |
| Full Name | Jacqueline Dimalanta Poletes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 953 E Del Webb Blvd, Sun City Center, 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 |
|---|---|---|---|
| 1699308874 | NPI | - | NPPES |
| MC081 | Other | FL | MEDICARE |
| Y3VPJ | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11006160 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Riverview, FL | Home health agency |
| South Bay Hospital | Sun city center, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Physician Group Llc | 9830244433 | 866 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Dimalanta Poletes, APRN 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Jacqueline Dimalanta Poletes, APRN 953 E Del Webb Blvd, Sun City Center, FL 33573-6669 Ph: (813) 634-6880 |
Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Pamela Sevalia, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4051 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717 | |
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484 | |
Guedry Edouard, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15407 Ibis Fall Pl, Sun City Center, FL 33573 Phone: 239-692-1157 | |
Renette Charles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7209 Wash Island Dr, Sun City Center, FL 33573 Phone: 813-948-1310 | |
Ms. Diana Theresa Burchett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 S Pebble Beach Blvd Ste 202c, Sun City Center, FL 33573 Phone: 813-954-0363 Fax: 813-644-5745 |