Stacy Eldridge, FNP | |
2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | |
(941) 624-2704 | |
(941) 627-6066 |
Full Name | Stacy Eldridge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 2450 Tamiami Trl Ste A, Port Charlotte, 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 |
---|---|---|---|
1265705743 | NPI | - | NPPES |
000001037727 | Other | IN | EMERGENCY MED PIN UNDER TIN 35-2030653 |
201072520 | Medicaid | IN | |
000000772667 | Other | IN | ANTHEM FAM MED PIN UNDER TIN 35-2030653 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71003974A (Indiana) | Primary |
163W00000X | Registered Nurse | 28137260A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mary Rutan Hospital | Bellefontaine, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Millennium Physician Group Llc | 9830244433 | 781 |
Mary Rutan Hospital | 9032013792 | 77 |
Entity Name | Millennium Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Mailing Address | Practice Location Address |
---|---|
Stacy Eldridge, FNP 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Stacy Eldridge, FNP 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 Ph: (941) 624-2704 |
Maria Lourdes Laquian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 | |
Maureen Ann Wertz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 855-674-7700 Fax: 941-764-8455 | |
Bobbi Hawver, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18480 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-743-4700 | |
Roxana Maria Rodriguez Rey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 877-856-3774 | |
Carla K Garcia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 | |
Rita Felicia De Palma, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 | |
Ms. Carin Melanie Calabrese, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1356 |