| Mr Lilliot Phillips, AG-ACNP | |
|
54123 Lisa Dr, Callahan, FL 32011-5989 | |
| (904) 955-3062 | |
| Not Available |
| Full Name | Mr Lilliot Phillips |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 54123 Lisa Dr, Callahan, 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 |
|---|---|---|---|
| 1669951455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN1617712 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Bay Hospital | Sun city center, FL | Hospital |
| Brandon Regional Hospital | Brandon, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intensive Care Consortium Inc | 0244269413 | 444 |
| Entity Name | Pulmonary Physicians Of South Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902892060 PECOS PAC ID: 1850360397 Enrollment ID: O20040930000690 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20050808000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lilliot Phillips, AG-ACNP 54123 Lisa Dr, Callahan, FL 32011-5989 Ph: (904) 955-3062 | Mr Lilliot Phillips, AG-ACNP 54123 Lisa Dr, Callahan, FL 32011-5989 Ph: (904) 955-3062 |
Faith Ann Adams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
Mrs. Cassandra Hargis, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450671 Sr 200, Callahan, FL 32011 Phone: 904-631-7396 | |
Ms. Donna Lee Irwin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45377 Mickler St, Callahan, FL 32011 Phone: 904-879-2306 Fax: 904-879-6377 | |
Shonda Souther, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542435 Us Highway 1, Callahan, FL 32011 Phone: 904-507-4623 | |
Melissa Thick Cannon, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-879-4233 | |
Margo Walton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
Nikata Arvind Patel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-200-1996 |