| Monique M Berces-mardenly, FNP, MSN, MPH | |
|
301 Dr Carter Blvd, Bunnell, FL 32110-6212 | |
| (386) 437-7350 | |
| (386) 437-7353 |
| Full Name | Monique M Berces-mardenly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 301 Dr Carter Blvd, Bunnell, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528207552 | NPI | - | NPPES |
| 0276496 | Other | WA | L AND I |
| 1528207552 | Medicaid | WA | |
| P01169704 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18296 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11002491 (Florida) | Primary |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023081932 PECOS PAC ID: 3072424282 Enrollment ID: O20040724000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Monique M Berces-mardenly, FNP, MSN, MPH 301 Dr Carter Blvd, Bunnell, FL 32110-6212 Ph: (386) 437-7350 | Monique M Berces-mardenly, FNP, MSN, MPH 301 Dr Carter Blvd, Bunnell, FL 32110-6212 Ph: (386) 437-7350 |
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 800-539-4228 Fax: 386-254-1237 | |
Amy L. Coopersmith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 | |
Joella Cauley Hall, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3760 Pear Ave, Bunnell, FL 32110 Phone: 386-793-6628 Fax: 386-437-5912 | |
Mrs. Deborah A Frazer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 | |
Mrs. Andrea Jean Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 N Peach St, Bunnell, FL 32110 Phone: 386-237-4032 | |
Mrs. Betty Kachnycz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 Fax: 386-437-8232 |