| Michael Coulter, APRN | |
|
13453 N Main St Ste 104, Jacksonville, FL 32218-2773 | |
| (904) 773-4390 | |
| (941) 621-7089 |
| Full Name | Michael Coulter |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 13453 N Main St Ste 104, Jacksonville, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194031880 | NPI | - | NPPES |
| 002592800 | Medicaid | FL | |
| SF935 | Other | FL | MEDICARE |
| 116312100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP9262190 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN9262190 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Discovery Mental Health Services Pa | 7113310939 | 4 |
| Entity Name | Che Behavioral Health Services Of Florida, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932721206 PECOS PAC ID: 5698185775 Enrollment ID: O20201030000621 |
| Entity Name | Discovery Mental Health Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023697745 PECOS PAC ID: 7113310939 Enrollment ID: O20220131001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Coulter, APRN 13453 N Main St Ste 104, Jacksonville, FL 32218-2773 Ph: (904) 773-4390 | Michael Coulter, APRN 13453 N Main St Ste 104, Jacksonville, FL 32218-2773 Ph: (904) 773-4390 |
Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844 | |
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395 | |
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832 | |
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080 | |
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300 |