| Praxides Mukoche Mbakaya-chen, ARNP | |
|
280 Farner Pl, The Villages, FL 32163-6066 | |
| (844) 884-9355 | |
| (352) 674-8910 |
| Full Name | Praxides Mukoche Mbakaya-chen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 280 Farner Pl, The Villages, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700168085 | NPI | - | NPPES |
| 004023800 | Medicaid | FL | |
| FK403Z | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP 9323763 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN9323763 (Florida) | Primary |
| Entity Name | Lifestream Behavioral Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Praxides Mukoche Mbakaya-chen, ARNP 1020 Lake Sumter Lndg, The Villages, FL 32162-2699 Ph: (352) 674-8905 | Praxides Mukoche Mbakaya-chen, ARNP 280 Farner Pl, The Villages, FL 32163-6066 Ph: (844) 884-9355 |
Tabitha Starr Davidson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2955 Brownwood Blvd, The Villages, FL 32163 Phone: 844-884-9355 Fax: 352-674-8714 | |
Noelle Elizabeth Buonincontri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd Ste 270, The Villages, FL 32162 Phone: 352-633-1966 Fax: 352-633-1969 | |
Uravbhai Patel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd Ste 270, The Villages, FL 32162 Phone: 352-633-1966 Fax: 352-633-1969 | |
Laura Megan Coffin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Heald Way Ste 208, The Villages, FL 32163 Phone: 352-399-7301 | |
Elexa Molinary, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8877 Se 165th Mulberry Ln, The Villages, FL 32162 Phone: 844-884-9355 Fax: 352-674-8950 | |
Amber Leigh Krause, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2910 Brownwood Blvd, The Villages, FL 32163 Phone: 352-205-4032 | |
Jaime Leavitt, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 |