| Brooke A Lacey, APRN | |
|
809 N Stone St, Deland, FL 32720-3255 | |
| (386) 734-1824 | |
| (386) 738-7497 |
| Full Name | Brooke A Lacey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 809 N Stone St, Deland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174916480 | NPI | - | NPPES |
| 120553400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9233489 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9233489 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Halifax Health Hospice | Port orange, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excellence Health Llc | 0840534160 | 38 |
| Entity Name | Excellence Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447741749 PECOS PAC ID: 0840534160 Enrollment ID: O20181127002760 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke A Lacey, APRN 900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923 Ph: (386) 734-1824 | Brooke A Lacey, APRN 809 N Stone St, Deland, FL 32720-3255 Ph: (386) 734-1824 |
Deborah Vega Darnell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-7080 Fax: 386-734-0821 | |
Dr. Mary Theresa Izzo, PHD, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-7080 Fax: 386-734-0821 | |
April Summerford Frahm, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1590 S Sr 15a, Deland, FL 32720 Phone: 386-774-0016 | |
Lisa Cunningham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 685 Peachwood Dr, Deland, FL 32720 Phone: 386-736-3463 Fax: 386-736-3492 | |
Mrs. Rachel Ellen Hart, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 937 N Spring Garden Ave, Deland, FL 32720 Phone: 386-736-1948 Fax: 386-734-4571 | |
Debbie Hinson Fisher, ARNP-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 2nd Ave, 720 2nd Ave, Deland, FL 32724 Phone: 386-561-0383 | |
Ms. Carmelia Maria Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724 Phone: 386-736-1105 Fax: 386-734-1443 |