| Kimberly Ann Mella, NP | |
|
301 N Alexander St, Plant City, FL 33563-4303 | |
| (813) 757-1290 | |
| Not Available |
| Full Name | Kimberly Ann Mella |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 301 N Alexander St, Plant 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 |
|---|---|---|---|
| 1467420455 | NPI | - | NPPES |
| 303931500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP2742832 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital Fontana/ontario | Fontana, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10968 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | California Em-i Medical Services A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003865247 PECOS PAC ID: 3678487774 Enrollment ID: O20040323000681 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Ann Mella, NP 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 Ph: () - | Kimberly Ann Mella, NP 301 N Alexander St, Plant City, FL 33563-4303 Ph: (813) 757-1290 |
Donna Disanti, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 508 N Alexander St, Suite 1, Plant City, FL 33563 Phone: 813-759-6607 Fax: 813-759-8997 | |
Johanna Pedraza, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 N Alexander St Ste B, Plant City, FL 33563 Phone: 813-719-3525 Fax: 813-719-3175 | |
Muneshwar Derek Tooriram, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N Alexander St, Plant City, FL 33563 Phone: 813-757-1290 | |
Mrs. Michelle Helene Cormier-boeckle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 N Alexander St, Plant City, FL 33563 Phone: 813-757-8343 | |
Jennifer Richie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 N Wheeler St, Plant City, FL 33563 Phone: 877-640-7820 | |
Glenn David Turner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3302 W Baker St, Plant City, FL 33563 Phone: 813-752-1336 Fax: 813-754-6914 | |
Dechone Samuels, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2202 W Oak Ave, Plant City, FL 33563 Phone: 386-562-4899 |