| Mary Elizabeth Hafele-kott, APRN | |
|
1755 David Walker Dr, Tavares, FL 32778-5745 | |
| (352) 742-8830 | |
| Not Available |
| Full Name | Mary Elizabeth Hafele-kott |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1755 David Walker Dr, Tavares, 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 |
|---|---|---|---|
| 1225603038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11012225 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11012225 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Waterman | Tavares, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventhealth Primary Care Network Inc | 1557722410 | 366 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Adventist Health System/sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Hafele-kott, APRN 1755 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 742-8830 | Mary Elizabeth Hafele-kott, APRN 1755 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 742-8830 |
Ms. Christine Desantis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1879 Nightingale Lane, Suite C-1, Tavares, FL 32778 Phone: 352-742-1171 Fax: 352-742-7241 | |
Debra Babcock, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1729 David Walker Dr, Tavares, FL 32778 Phone: 352-508-4455 Fax: 844-388-6186 | |
Mrs. Aji Valayil Achuthan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-3578 Fax: 352-742-3581 | |
Ashley Megan Concepcion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1290 Waterman Way Ste 1290, Tavares, FL 32778 Phone: 352-742-0054 | |
Genesis Edlin Guerrero, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1858 Mayo Dr, Tavares, FL 32778 Phone: 352-383-5200 | |
Teri Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3985 Hillingdon Rd, Tavares, FL 32778 Phone: 352-250-0586 | |
Victoria Jacoby, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1599 Tropical Ct Ste 8, Tavares, FL 32778 Phone: 352-316-7205 Fax: 870-408-4059 |