| Mrs Abigail Penichet, | |
|
102 W Orange St, Lakeland, FL 33815-4645 | |
| (813) 344-9956 | |
| Not Available |
| Full Name | Mrs Abigail Penichet |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 102 W Orange St, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720785587 | NPI | - | NPPES |
| Entity Name | Treatment Centers of America, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225743032 PECOS PAC ID: 7810435294 Enrollment ID: O20240815004696 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Abigail Penichet, 3909 Charlie Taylor Rd, Plant City, FL 33565-2529 Ph: Not Available | Mrs Abigail Penichet, 102 W Orange St, Lakeland, FL 33815-4645 Ph: (813) 344-9956 |
Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765 |
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881 |
Jennifer Glisson Frasier, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-687-8335 |
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519 |
Courtney Ann Wight, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1611 Harden Blvd, Lakeland, FL 33803 Phone: 813-701-5804 Fax: 813-291-7615 |
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387 |
Mr. Tami Lynn Hower, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1321 Fax: 863-603-6534 |