| Lillian Christine Mack, APRN | |
|
1426 Willow Branch Dr, Orlando, FL 32828-7457 | |
| (386) 216-9223 | |
| Not Available |
| Full Name | Lillian Christine Mack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1426 Willow Branch Dr, Orlando, 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 |
|---|---|---|---|
| 1275296055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 11015887 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spencer J Hardenbrook Md Pc | 2062733546 | 102 |
| Entity Name | Central Florida Inpatient Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228859 PECOS PAC ID: 7911805254 Enrollment ID: O20031223000824 |
| Entity Name | Renew Wound Care Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811631591 PECOS PAC ID: 1951788256 Enrollment ID: O20220505002450 |
| Entity Name | Transitions Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821707407 PECOS PAC ID: 5890166631 Enrollment ID: O20230113001986 |
| Entity Name | Hickory Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124899869 PECOS PAC ID: 7315384997 Enrollment ID: O20240318003753 |
| Entity Name | Spencer J Hardenbrook Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073909594 PECOS PAC ID: 2062733546 Enrollment ID: O20240430004152 |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian Christine Mack, APRN Po Box 1095, Orlando, FL 32802-1095 Ph: (407) 450-6925 | Lillian Christine Mack, APRN 1426 Willow Branch Dr, Orlando, FL 32828-7457 Ph: (386) 216-9223 |
Janine Marie Kyte, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822 Phone: 407-322-8645 Fax: 407-322-8725 | |
Latoya Wells, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mercy Dr, Wellness Program, Orlando, FL 32808 Phone: 407-822-5064 Fax: 407-532-1088 | |
Aymara Del Pino, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 E Ridgewood St, Orlando, FL 32803 Phone: 407-841-1100 | |
Mr. Heng Chai Lai, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 W Underwood St, Orlando, FL 32806 Phone: 321-843-5270 Fax: 321-843-5177 | |
Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170 | |
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185 | |
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470 |