| Laura Susan Diekman, | |
|
3000 S Mccall Rd, Englewood, FL 34224-8616 | |
| (941) 548-1716 | |
| (941) 460-3006 |
| Full Name | Laura Susan Diekman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 3000 S Mccall Rd, Englewood, 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 |
|---|---|---|---|
| 1891194205 | NPI | - | NPPES |
| ECCRR | Other | FL | BCBS |
| 021158400 | Medicaid | FL | |
| IF763X | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP9287102 (Florida) | Primary |
| 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 |
|---|---|
| Laura Susan Diekman, 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Laura Susan Diekman, 3000 S Mccall Rd, Englewood, FL 34224-8616 Ph: (941) 548-1716 |
Tiffany Kristine Lamarca, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Englewood Rd Ste 5, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
Tina Marie Reynolds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 Fax: 941-841-4201 | |
Monic Menard, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2061 Englewood Rd, Suite 4, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
Devon Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-548-1716 | |
Amanda Mariah Munden, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 | |
Mrs. Christiana Sipper Casanova, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Medical Dr, Englewood, FL 34223 Phone: 941-280-0499 Fax: 941-340-0601 | |
Melissa Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Drury Ln, Englewood, FL 34224 Phone: 313-806-2619 |