| Tracy Lee Riddle, ARNP-C | |
|
10762 Se Us Highway 441, Belleview, FL 34420-3805 | |
| (352) 347-5225 | |
| (352) 347-1073 |
| Full Name | Tracy Lee Riddle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 10762 Se Us Highway 441, Belleview, 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 |
|---|---|---|---|
| 1083890271 | NPI | - | NPPES |
| 312288300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9244294 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Beverly hills, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Primary Care Pllc | 1759628217 | 2 |
| Entity Name | Breen Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144666439 PECOS PAC ID: 6204060312 Enrollment ID: O20131003000170 |
| Entity Name | Advantage Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871062307 PECOS PAC ID: 1759628217 Enrollment ID: O20190123000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Lee Riddle, ARNP-C 10762 Se Us Highway 441, Belleview, FL 34420-3805 Ph: (352) 347-5225 | Tracy Lee Riddle, ARNP-C 10762 Se Us Highway 441, Belleview, FL 34420-3805 Ph: (352) 347-5225 |
Mrs. Victoria Leigh Himes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6006 Se Abshier Blvd, Belleview, FL 34420 Phone: 813-385-1288 | |
Sabrina Kelli Graham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4850 Se 110th St, Belleview, FL 34420 Phone: 352-233-2360 Fax: 352-233-2363 | |
Molly Ann Poucher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8014 Se 121st Pl, Belleview, FL 34420 Phone: 352-620-5178 | |
Christy Ellen Blackburn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Se 97th Ln, Belleview, FL 34420 Phone: 352-342-6985 | |
Allison S Brewer-reed, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10696 Se Us Highway 441, Belleview, FL 34420 Phone: 352-245-1111 Fax: 352-245-1435 | |
Ms. Gloria Ann Pena, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6262 Se 121st Pl, Belleview, FL 34420 Phone: 800-385-1347 |