| Michelle J Van De Wall, APRN | |
|
781 Cypress Village Blvd, Sun City Center, FL 33573-6801 | |
| (727) 824-0780 | |
| (727) 568-6011 |
| Full Name | Michelle J Van De Wall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 781 Cypress Village Blvd, Sun City Center, 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 |
|---|---|---|---|
| 1376846337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | APRN9165034 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optumcare Florida, Llc | 3072403476 | 266 |
| Entity Name | Optumcare Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle J Van De Wall, APRN 781 Cypress Village Blvd, Sun City Center, FL 33573-6801 Ph: (727) 824-0780 | Michelle J Van De Wall, APRN 781 Cypress Village Blvd, Sun City Center, FL 33573-6801 Ph: (727) 824-0780 |
Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 |
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717 |
Christina Bowens, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4874 Sun City Center Blvd, Sun City Center, FL 33573 Phone: 813-419-1220 Fax: 813-419-1250 |
Yetne Sotero Ofarrill, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1647 Sun City Center Plz Ste 104, Sun City Center, FL 33573 Phone: 813-278-7796 Fax: 813-379-2479 |
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484 |
Mr. Leonel Antoine Jeune, FNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4016 Sun City Center Blvd, Sun City Center, FL 33573 Phone: 224-425-2493 |
Alicia Garcia, MSN,APRN,PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7315 Tiger Trail Ct, Sun City Center, FL 33573 Phone: 305-336-3519 |