| Nicole Cardiello, | |
|
1801 Us Highway 441 Bldg 100, Leesburg, FL 34748-2545 | |
| (352) 460-4004 | |
| (352) 460-4003 |
| Full Name | Nicole Cardiello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1801 Us Highway 441 Bldg 100, Leesburg, 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 |
|---|---|---|---|
| 1346845039 | NPI | - | NPPES |
| 109304300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11010407 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cora Health Services, Inc. | 1759290992 | 844 |
| Lakeview Healthcare System, Llc | 8921074733 | 27 |
| Entity Name | Lakeview Healthcare System, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841484979 PECOS PAC ID: 8921074733 Enrollment ID: O20080520000184 |
| Entity Name | Aegis Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356769384 PECOS PAC ID: 8022324862 Enrollment ID: O20150825003518 |
| Entity Name | Pulse Medical Doctors Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033649868 PECOS PAC ID: 8123394020 Enrollment ID: O20171020001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Cardiello, 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 Ph: (352) 307-9925 | Nicole Cardiello, 1801 Us Highway 441 Bldg 100, Leesburg, FL 34748-2545 Ph: (352) 460-4004 |
Lino Lopez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E. Dixie Avenue, Lrmc Urgent Care, Leesburg, FL 34748 Phone: 352-323-2273 | |
Melissa Rodden, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E North Blvd, Leesburg, FL 34748 Phone: 352-435-7938 Fax: 352-435-7938 | |
Mr. Jared Saint John, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-273-8610 | |
Debra A Guitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 N Palmetto St, Leesburg, FL 34748 Phone: 352-323-3270 | |
Debra C Gatlin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582 | |
Scott D. Doll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Mrs. Centcha Limprevil, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave Apt 201, Leesburg, FL 34748 Phone: 904-557-0505 |