| Stephanie Higgins, | |
|
731 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 | |
| (386) 257-1626 | |
| (866) 486-1253 |
| Full Name | Stephanie Higgins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 731 N Clyde Morris Blvd, Daytona Beach, 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 |
|---|---|---|---|
| 1699452912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SF0001X | Clinical Nurse Specialist - Family Health | 11023828 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Entity Name | Prestige Clinicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497213755 PECOS PAC ID: 9234549841 Enrollment ID: O20201111000879 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Higgins, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Stephanie Higgins, 731 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 Ph: (386) 257-1626 |
Markecia English, CNA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 315 Wilder Blvd Apt 205, Daytona Beach, FL 32114 Phone: 386-344-8562 | |
Shamica N Williams, CNA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 503 Jean St Apt 3, Daytona Beach, FL 32114 Phone: 386-675-3365 | |
Catherine Vesely, ARNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-2360 Fax: 386-226-4577 |