| Mr Jonathan Thomas Dismuke, ARNP | |
|
6804 Cecelia Dr, New Port Richey, FL 34653-4935 | |
| (855) 232-0644 | |
| (888) 546-0488 |
| Full Name | Mr Jonathan Thomas Dismuke |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 6804 Cecelia Dr, New Port Richey, 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 |
|---|---|---|---|
| 1255990693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11002313 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN11002313 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care Of The Villages Inc | Fruitland park, FL | Home health agency |
| Encompass Health Home Health | Ocala, FL | Home health agency |
| Village Home Care Llc | Ocala, FL | Home health agency |
| Kindred At Home | The villages, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care Providers Inc | 1951566728 | 13 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Primary Care Providers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083989438 PECOS PAC ID: 1951566728 Enrollment ID: O20120628000262 |
| Entity Name | Elyaman Medical Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609251685 PECOS PAC ID: 4284923467 Enrollment ID: O20160511000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Thomas Dismuke, ARNP 6804 Cecelia Dr, New Port Richey, FL 34653-4935 Ph: (855) 232-0644 | Mr Jonathan Thomas Dismuke, ARNP 6804 Cecelia Dr, New Port Richey, FL 34653-4935 Ph: (855) 232-0644 |
Billy Shannon Clay, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 727-232-0644 Fax: 888-546-0488 | |
Kelli Monnin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 855-232-0644 Fax: 888-546-0488 | |
Deborah Lyons, APRN PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3913 Claremont Dr, New Port Richey, FL 34652 Phone: 813-512-9066 | |
Devon Glynn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8606 Government Dr Ste 3, New Port Richey, FL 34654 Phone: 727-816-1520 | |
Cathleen A Barrett, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8002 King Helie Blvd, New Port Richey, FL 34653 Phone: 727-841-4200 | |
Desiree R Rupe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2148 Duck Slough Blvd Ste 102, New Port Richey, FL 34655 Phone: 727-375-1975 | |
Margot Krahn, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6224 Lafayette St, New Port Richey, FL 34652 Phone: 727-371-8570 |