| Mrs Kathleen Young Harrell, ARNP | |
|
17121 Rainbow Terrace, Odessa, FL 33556 | |
| (813) 749-6707 | |
| (813) 475-4831 |
| Full Name | Mrs Kathleen Young Harrell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 17121 Rainbow Terrace, Odessa, 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 |
|---|---|---|---|
| 1043295090 | NPI | - | NPPES |
| 302647700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2826532 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 2826532 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Wide Dermatology 'llc' | 1052531035 | 5 |
| Entity Name | State Wide Dermatology "llc" |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427473073 PECOS PAC ID: 1052531035 Enrollment ID: O20140926000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathleen Young Harrell, ARNP 17121 Rainbow Terrace, Odessa, FL 33556 Ph: (813) 749-6907 | Mrs Kathleen Young Harrell, ARNP 17121 Rainbow Terrace, Odessa, FL 33556 Ph: (813) 749-6707 |
Janelle Alexandra Peguero, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16097 Tuscany Hillside Rd, Odessa, FL 33556 Phone: 813-532-6576 | |
Melissa Renee Nelson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16244 Redstone Way, Odessa, FL 33556 Phone: 813-430-0900 | |
Melissa D Erb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Short Ave, Odessa, FL 33556 Phone: 727-807-2476 | |
Shelley Camille Morgan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7708 Isabella Ln, Odessa, FL 33556 Phone: 904-536-8334 | |
Mr. Gonzalo Arboleda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15985 Preserve Marketplace Blvd Unit 107, Odessa, FL 33556 Phone: 727-416-2845 | |
Mrs. Stephanie Marcene Mcquillan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19817 Wyndham Lakes Dr, Odessa, FL 33556 Phone: 727-543-5178 |