| Sean Ellis Mcmicken, NP | |
|
2200 Osprey Blvd, Bartow, FL 33830-3308 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Sean Ellis Mcmicken |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 2200 Osprey Blvd, Bartow, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598848327 | NPI | - | NPPES |
| 302720100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3170022 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Sebring | Sebring, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tampa Bay Emergency Physicians, Llc | 0345260345 | 55 |
| Tampa Bay Emergency Physicians-heartland Llc | 0749577781 | 45 |
| Entity Name | Polk Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558338574 PECOS PAC ID: 0547241598 Enrollment ID: O20050506000658 |
| Entity Name | Tampa Bay Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
| Entity Name | Tampa Bay Emergency Physicians-heartland LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043661408 PECOS PAC ID: 0749577781 Enrollment ID: O20160920000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Ellis Mcmicken, NP 200 Corporate Blvd., Suite 201, Lafayette, LA 70508 Ph: (800) 893-9698 | Sean Ellis Mcmicken, NP 2200 Osprey Blvd, Bartow, FL 33830-3308 Ph: (800) 893-9698 |
Efrosini Xanthoudakis, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2200 Osprey Blvd, Bartow, FL 33830 Phone: 863-533-8111 |
Jeena Mathew, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Nevermore Cir, Bartow, FL 33830 Phone: 863-512-1055 |
Stephanie Rambali, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 |
Sarah Anne Crowley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900 |
Ann M Phelps, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2250 Osprey Blvd Ste 102, Bartow, FL 33830 Phone: 863-533-1448 |
Ms. Patricia Clark, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3750 Fax: 863-519-3753 |
Yesenia Maria Martin, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-500-3776 |