| Traci Serrano, APRN | |
|
61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164-5982 | |
| (386) 586-1720 | |
| Not Available |
| Full Name | Traci Serrano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 61 Memorial Medical Pkwy Ste 3816, Palm Coast, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063054468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11001425 (Florida) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 11001425 (Florida) | Secondary |
| Entity Name | The Heart Center Of Palm Coast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437808029 PECOS PAC ID: 2062809593 Enrollment ID: O20220430000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Serrano, APRN 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164-5982 Ph: (386) 586-1720 | Traci Serrano, APRN 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164-5982 Ph: (386) 586-1720 |
Traci Lee Smith, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Cypress Point Pkwy Ste D102, Palm Coast, FL 32164 Phone: 386-230-4448 | |
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861 | |
Cynthia Michelle Baxter, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 381 Palm Coast Pkwy Sw Unit 2, Palm Coast, FL 32137 Phone: 386-232-8089 | |
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333 | |
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373 | |
Amanda Vera, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811 |