| Wanda Ivette Chacon, APRN | |
|
13933 17th St Ste 200, Dade City, FL 33525-4604 | |
| (352) 437-5972 | |
| (352) 437-5974 |
| Full Name | Wanda Ivette Chacon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 13933 17th St Ste 200, Dade City, 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 |
|---|---|---|---|
| 1407226194 | NPI | - | NPPES |
| 021583900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN2894372 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida Hospital Zephyrhills | Zephyrhills, FL | Hospital |
| Adventhealth Dade City | Dade city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 631 |
| Entity Name | South Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609884154 PECOS PAC ID: 8123927373 Enrollment ID: O20040107000217 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Ivette Chacon, APRN 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5685 | Wanda Ivette Chacon, APRN 13933 17th St Ste 200, Dade City, FL 33525-4604 Ph: (352) 437-5972 |
Dorothy R Budetti, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13941 15th St, Dade City, FL 33525 Phone: 352-521-1450 Fax: 352-523-6910 | |
Kirsten T Rhoden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13417 Us Highway 301 Ste B, Dade City, FL 33525 Phone: 352-521-3967 | |
Jessica Lynn Faber, PMNHP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14527 7th St, Dade City, FL 33523 Phone: 352-521-1474 | |
Mrs. Terri Lynn Jones, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12880 Us Highway 301, Dade City, FL 33525 Phone: 352-567-3325 Fax: 352-567-3385 | |
Barbara Rose Muniz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13417 Us Highway 301 Ste D, Dade City, FL 33525 Phone: 352-567-8640 Fax: 813-355-5027 | |
Salam N Abdo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14027 5th St, Dade City, FL 33525 Phone: 352-518-2000 | |
Jennifer Lynn Cowherd, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-567-0218 |