| Therese Monica Grandlienard, | |
|
11200 Seminole Blvd, Largo, FL 33778-3259 | |
| (727) 258-4817 | |
| Not Available |
| Full Name | Therese Monica Grandlienard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 11200 Seminole Blvd, Largo, 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 |
|---|---|---|---|
| 1568822716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9280102 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prohealth Home Health Services Inc | Saint petersburg, FL | Home health agency |
| Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| St Anthonys Hospital | Saint petersburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Coast Primary Care Llc | 6709041585 | 5 |
| Entity Name | West Coast Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528327087 PECOS PAC ID: 6709041585 Enrollment ID: O20120628000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Therese Monica Grandlienard, 4030 3rd Ave N, Saint Petersburg, FL 33713-7402 Ph: () - | Therese Monica Grandlienard, 11200 Seminole Blvd, Largo, FL 33778-3259 Ph: (727) 258-4817 |
Cassandra Hoffman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458 | |
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Radica Singh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532 | |
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360 | |
Alyssa Marie King Ewald, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12224 70th St, Largo, FL 33773 Phone: 727-434-1377 | |
Adissa O. Perez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Highland Ave N, Largo, FL 33770 Phone: 727-683-2900 Fax: 727-683-2901 |