| Mrs Kasey Acklin, CRNP | |
|
40100 Highway 27, Davenport, FL 33837-5906 | |
| (863) 422-4971 | |
| Not Available |
| Full Name | Mrs Kasey Acklin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 40100 Highway 27, Davenport, 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 |
|---|---|---|---|
| 1114645132 | NPI | - | NPPES |
| 024184852 | Other | VA | VIRGINIA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11032864 (Florida) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0024184852 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgewood Physician Services, Llc | 0446594105 | 44 |
| Lake Wales Physician Services, Llc | 8426390964 | 20 |
| Entity Name | Ridgewood Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295216034 PECOS PAC ID: 0446594105 Enrollment ID: O20181206001200 |
| Entity Name | Lake Wales Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164902797 PECOS PAC ID: 8426390964 Enrollment ID: O20190502000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kasey Acklin, CRNP 15011 Glory Dr Se, Huntsville, AL 35803-2445 Ph: (540) 850-1768 | Mrs Kasey Acklin, CRNP 40100 Highway 27, Davenport, FL 33837-5906 Ph: (863) 422-4971 |
Briana Brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 | |
Alysha N Petroff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40215 Highway 27, Davenport, FL 33837 Phone: 863-421-9705 Fax: 863-421-9779 | |
Mrs. Chrisja Marie Ramos, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1085 Mountain Flower Ln, Davenport, FL 33837 Phone: 407-757-9966 |