| Kimberlei M Faller, FNP-BC, PMHNP-BC | |
|
215 Howard St W, Live Oak, FL 32064-2303 | |
| (386) 319-0709 | |
| Not Available |
| Full Name | Kimberlei M Faller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 215 Howard St W, Live Oak, 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 |
|---|---|---|---|
| 1467910109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11001792 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11001792 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberlei M Faller, FNP-BC, PMHNP-BC 215 Howard St W, Live Oak, FL 32064-2303 Ph: (386) 319-0709 | Kimberlei M Faller, FNP-BC, PMHNP-BC 215 Howard St W, Live Oak, FL 32064-2303 Ph: (386) 319-0709 |
Mrs. Melania J Willis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Ohio Ave S, Live Oak, FL 32064 Phone: 386-330-5248 Fax: 386-208-1380 | |
Valeria Nicole Randle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Walker Ave Nw, Live Oak, FL 32064 Phone: 386-364-8775 | |
Mrs. Amber Ingram Chauncey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1002 11th St Sw, Live Oak, FL 32064 Phone: 386-364-8050 | |
Mrs. Melissa Fay Peters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Ohio Ave S, Live Oak, FL 32064 Phone: 386-364-0776 | |
Kristina Melissa North, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 11th St Sw, Live Oak, FL 32064 Phone: 386-362-0800 | |
Mrs. Yvonne Deaton Billups, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Canyon Ave Ne Unit B, Live Oak, FL 32064 Phone: 386-208-0537 Fax: 386-208-0571 | |
Catherine Fleischman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Ave S, Live Oak, FL 32064 Phone: 386-758-0003 |