| Oluwakemi Mitchell, DNP, PMHNP | |
|
22356 Cherokee Rose Pl, Land O Lakes, FL 34639-3111 | |
| (813) 469-4215 | |
| (813) 537-8710 |
| Full Name | Oluwakemi Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 22356 Cherokee Rose Pl, Land O Lakes, 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 |
|---|---|---|---|
| 1861222580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11034528 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Street Medical Llc | 6709112832 | 2 |
| Sondermind Provider Network Llc | 9537572490 | 1232 |
| Grow Healthcare Group Pa | 3476961368 | 994 |
| Entity Name | Main Street Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487079505 PECOS PAC ID: 6709112832 Enrollment ID: O20190729000315 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Oluwakemi Mitchell, DNP, PMHNP 22356 Cherokee Rose Pl, Land O Lakes, FL 34639-3111 Ph: (813) 537-8710 | Oluwakemi Mitchell, DNP, PMHNP 22356 Cherokee Rose Pl, Land O Lakes, FL 34639-3111 Ph: (813) 469-4215 |
Mrs. Jessilyn Emma Perez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3742 Tristram Loop, Land O Lakes, FL 34638 Phone: 813-453-8258 | |
Ailyn Arias Quijano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7040 Land O Lakes Blvd Ste 103-104, Land O Lakes, FL 34638 Phone: 813-803-7907 | |
Lacey Nixon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5904 Desert Peace Ave, Land O Lakes, FL 34639 Phone: 813-766-3950 | |
Mrs. Holly Marie Boyd, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638 Phone: 813-949-2950 Fax: 813-949-2924 | |
Alon Padraig Corrigan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22150 Bell Harbor Dr, Land O Lakes, FL 34639 Phone: 813-395-4596 | |
Erin Balthazar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7842 Land O Lakes Blvd, Land O Lakes, FL 34638 Phone: 813-551-2830 | |
Brian Goldich, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4111 Land O Lakes Blvd, Land O Lakes, FL 34639 Phone: 813-929-2750 |