| Mr Andrew Lourens, APRN | |
|
400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081-6236 | |
| (904) 824-1020 | |
| (904) 390-7503 |
| Full Name | Mr Andrew Lourens |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 400 Colonnade Dr Ste 160, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568956456 | NPI | - | NPPES |
| AP137614 | Other | TX | TBON |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagler Hospital | Saint augustine, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 420 |
| Flagler Family Medicine P A | 9335114347 | 14 |
| Entity Name | Flagler Family Medicine P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215080809 PECOS PAC ID: 9335114347 Enrollment ID: O20040901000477 |
| Entity Name | Flagler Family Nursing Home Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679172779 PECOS PAC ID: 4486063120 Enrollment ID: O20210510000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Lourens, APRN Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092 | Mr Andrew Lourens, APRN 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081-6236 Ph: (904) 824-1020 |
Mr. Nicholas M Kalynych, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 690 Majestic Eagle Dr, Sunbelt Anesthesia Services, Llc, Ponte Vedra, FL 32081 Phone: 904-412-2593 Fax: 904-686-1817 | |
Tyra Jean Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081 Phone: 904-640-8249 Fax: 904-640-8250 | |
Yuliya Caprietta, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Town Plaza Ave Ste 310, Ponte Vedra, FL 32081 Phone: 904-824-7733 Fax: 505-485-0681 | |
Mrs. Christina Marie Ralko, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 Town Plaza Ave Ste 330, Ponte Vedra, FL 32081 Phone: 904-419-9098 | |
Eteri Agyeyeva, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Town Plaza Ave Ste 202, Ponte Vedra, FL 32081 Phone: 904-834-3440 | |
Brittany Buchanan Kelly, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081 Phone: 904-640-8249 Fax: 904-640-8250 | |
Mrs. Ashley Michaux, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Ponte Vedra Park Dr, Ponte Vedra, FL 32082 Phone: 904-273-6200 |