| Mary L Lane, ARNP | |
|
10762 Se Us Highway 441, Belleview, FL 34420-3805 | |
| (352) 347-5225 | |
| (352) 347-1073 |
| Full Name | Mary L Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 10762 Se Us Highway 441, Belleview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568614303 | NPI | - | NPPES |
| Y00N4 | Other | FL | BSBC FL |
| 0008590-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3083192 (Florida) | Primary |
| Entity Name | Heart & Vascular Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669554283 PECOS PAC ID: 8729184379 Enrollment ID: O20070428000069 |
| Entity Name | Shreeven Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275818726 PECOS PAC ID: 1254598634 Enrollment ID: O20120214000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L Lane, ARNP 10762 Se Us Hwy 441, Belleview, FL 34420 Ph: (352) 347-5225 | Mary L Lane, ARNP 10762 Se Us Highway 441, Belleview, FL 34420-3805 Ph: (352) 347-5225 |
Tracy Lee Riddle, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10762 Se Us Highway 441, Belleview, FL 34420 Phone: 352-347-5225 Fax: 352-347-1073 | |
Mrs. Victoria Leigh Himes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6006 Se Abshier Blvd, Belleview, FL 34420 Phone: 813-385-1288 | |
Sabrina Kelli Graham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4850 Se 110th St, Belleview, FL 34420 Phone: 352-233-2360 Fax: 352-233-2363 | |
Molly Ann Poucher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8014 Se 121st Pl, Belleview, FL 34420 Phone: 352-620-5178 | |
Brandi Leigh Butler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12310 Se 49th Ter, Belleview, FL 34420 Phone: 205-275-8676 | |
Christy Ellen Blackburn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Se 97th Ln, Belleview, FL 34420 Phone: 352-342-6985 | |
Allison S Brewer-reed, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10696 Se Us Highway 441, Belleview, FL 34420 Phone: 352-245-1111 Fax: 352-245-1435 |