| Lakenya Chimere Wallace, FNP-C | |
|
10925 State Road 54, New Port Richey, FL 34655-2277 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Lakenya Chimere Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 10925 State Road 54, New Port Richey, 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 |
|---|---|---|---|
| 1437559408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP133966 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9198088 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kelsey-seybold Medical Group, Pllc | 9739093527 | 664 |
| Entity Name | Kelsey-seybold Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
| Entity Name | Legacy Physiatry Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakenya Chimere Wallace, FNP-C 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-4997 | Lakenya Chimere Wallace, FNP-C 10925 State Road 54, New Port Richey, FL 34655-2277 Ph: (866) 389-2727 |
Billy Shannon Clay, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 727-232-0644 Fax: 888-546-0488 | |
Kelli Monnin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 855-232-0644 Fax: 888-546-0488 | |
Deborah Lyons, APRN PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3913 Claremont Dr, New Port Richey, FL 34652 Phone: 813-512-9066 | |
Devon Glynn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8606 Government Dr Ste 3, New Port Richey, FL 34654 Phone: 727-816-1520 | |
Cathleen A Barrett, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8002 King Helie Blvd, New Port Richey, FL 34653 Phone: 727-841-4200 | |
Desiree R Rupe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2148 Duck Slough Blvd Ste 102, New Port Richey, FL 34655 Phone: 727-375-1975 | |
Margot Krahn, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6224 Lafayette St, New Port Richey, FL 34652 Phone: 727-371-8570 |