| Balanced Wellbeing Llc | |
|
3200 Sw 34th Ave Ste 701 Ocala FL 34474-8443 | |
| (352) 445-1200 | |
| Not Available |
| Full Name | Balanced Wellbeing Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3200 Sw 34th Ave Ste 701, Ocala, Florida |
| Authorized Official Name and Position | Parikshit Deshmukh (CEO) |
| Authorized Official Contact | 3524451200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Wellbeing Llc 3200 Sw 34th Ave Ste 701 Ocala FL 34474-8443 Ph: (877) 779-2429 | Balanced Wellbeing Llc 3200 Sw 34th Ave Ste 701 Ocala FL 34474-8443 Ph: (352) 445-1200 |
| NPI Number | 1336513639 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 12/05/2022 |
| Medicare PECOS PAC ID | 5193021848 |
|---|---|
| Medicare Enrollment ID | O20160307002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336513639 | NPI | - | NPPES |
| Provider Name | Allamm Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609826213 PECOS PAC ID: 5395794473 Enrollment ID: I20050118000147 |
| Provider Name | Michelle Antoinette Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659336634 PECOS PAC ID: 7416992128 Enrollment ID: I20050623000126 |
| Provider Name | Elizabeth A Handte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144293168 PECOS PAC ID: 3476572413 Enrollment ID: I20051118000182 |
| Provider Name | Linda H Skalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194837989 PECOS PAC ID: 1052471133 Enrollment ID: I20090722000249 |
| Provider Name | Joanne T Donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780874792 PECOS PAC ID: 8921145418 Enrollment ID: I20091103000229 |
| Provider Name | Wahida Siddiqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275771032 PECOS PAC ID: 0941348205 Enrollment ID: I20091107000050 |
| Provider Name | Carolyn G Ascencios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427298645 PECOS PAC ID: 7416083811 Enrollment ID: I20100324000920 |
| Provider Name | Robert Klukoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104130335 PECOS PAC ID: 2062536691 Enrollment ID: I20100902000621 |
| Provider Name | Elaine I Kinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316002249 PECOS PAC ID: 8325147770 Enrollment ID: I20110420000023 |
| Provider Name | Kena R Watkins-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912159666 PECOS PAC ID: 9436316908 Enrollment ID: I20120210000681 |
| Provider Name | Tamera D Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578036 PECOS PAC ID: 1557524394 Enrollment ID: I20120515000440 |
| Provider Name | Parikshit Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437395845 PECOS PAC ID: 3173789948 Enrollment ID: I20120723000717 |
| Provider Name | Rosemary Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518217181 PECOS PAC ID: 6901055755 Enrollment ID: I20121011000236 |
| Provider Name | Julie L Delettre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588913735 PECOS PAC ID: 9830340868 Enrollment ID: I20121121000245 |
| Provider Name | Grecia Sofia Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891030417 PECOS PAC ID: 7618112285 Enrollment ID: I20130402000358 |
| Provider Name | Evelyn D Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871860619 PECOS PAC ID: 7810134061 Enrollment ID: I20130508000301 |
| Provider Name | Christina K Oliva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548607088 PECOS PAC ID: 5799926390 Enrollment ID: I20130724000514 |
| Provider Name | Brittany S Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871933978 PECOS PAC ID: 5496996456 Enrollment ID: I20130802000474 |
| Provider Name | Dolores Stefanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295070647 PECOS PAC ID: 7012143753 Enrollment ID: I20131202000589 |
| Provider Name | Gerry L Surrency |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457771016 PECOS PAC ID: 6507083797 Enrollment ID: I20140812001697 |
| Provider Name | Helene Brenda Vossos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093028649 PECOS PAC ID: 3779779269 Enrollment ID: I20140815001027 |
| Provider Name | Rafael J Botta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235387440 PECOS PAC ID: 4587881321 Enrollment ID: I20140819000576 |
| Provider Name | Brett G Althafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467761593 PECOS PAC ID: 7810119807 Enrollment ID: I20141106001032 |
| Provider Name | Michelle Dan El Carr |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740511815 PECOS PAC ID: 1658593140 Enrollment ID: I20141118001690 |
| Provider Name | Kathleen A Capelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992000970 PECOS PAC ID: 3476870924 Enrollment ID: I20150323001597 |
| Provider Name | Nasser Lavaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207883 PECOS PAC ID: 0042514226 Enrollment ID: I20160209000868 |
| Provider Name | Rubens L Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217690 PECOS PAC ID: 9537467352 Enrollment ID: I20160412001433 |
| Provider Name | Stephanie G Haffield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750762530 PECOS PAC ID: 6901104348 Enrollment ID: I20160418001981 |
| Provider Name | Celestina Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487017422 PECOS PAC ID: 6103111570 Enrollment ID: I20160824001067 |
| Provider Name | Benjamin Hargreaves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588999536 PECOS PAC ID: 4284929613 Enrollment ID: I20160824003164 |
| Provider Name | Diane M Kedzierski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497131544 PECOS PAC ID: 7911288956 Enrollment ID: I20170105000474 |
| Provider Name | Steven L Poucher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255874467 PECOS PAC ID: 4284916164 Enrollment ID: I20170130001543 |
| Provider Name | Jessica Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811300510 PECOS PAC ID: 2365725827 Enrollment ID: I20170207001058 |
| Provider Name | Tolulope Aderonke Oduyejo-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720524531 PECOS PAC ID: 2264716919 Enrollment ID: I20170225000045 |
| Provider Name | Adriana Bentum-tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801330519 PECOS PAC ID: 7012291198 Enrollment ID: I20170309001645 |
| Provider Name | Michelle Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346694734 PECOS PAC ID: 6305122177 Enrollment ID: I20170410001121 |
| Provider Name | Tamesha C Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831630649 PECOS PAC ID: 1153608203 Enrollment ID: I20170427002404 |
| Provider Name | Dianne E Doane-bustetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790218501 PECOS PAC ID: 6204105976 Enrollment ID: I20170712001265 |
| Provider Name | Lisa Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093235731 PECOS PAC ID: 1557634656 Enrollment ID: I20170912003310 |
| Provider Name | Medina Saida Yasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972857571 PECOS PAC ID: 7315204302 Enrollment ID: I20171129002204 |
| Provider Name | Yasmin Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194266080 PECOS PAC ID: 2163781584 Enrollment ID: I20180110002688 |
| Provider Name | Terrie L Burney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366980757 PECOS PAC ID: 7810250693 Enrollment ID: I20180409000432 |
| Provider Name | Kimberly H Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447759543 PECOS PAC ID: 1850654195 Enrollment ID: I20180418002752 |
| Provider Name | Darneisha Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926319 PECOS PAC ID: 4284998048 Enrollment ID: I20180502000548 |
| Provider Name | Heidi L Scholten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194238493 PECOS PAC ID: 5890059430 Enrollment ID: I20180507000414 |
| Provider Name | Antonio Anglero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851535579 PECOS PAC ID: 9234421926 Enrollment ID: I20180821000961 |
| Provider Name | Marinette Asuncion-uy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477880326 PECOS PAC ID: 0042561508 Enrollment ID: I20180921001173 |
| Provider Name | Johnnie Bradley-goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306322656 PECOS PAC ID: 0042561078 Enrollment ID: I20181001002367 |
| Provider Name | Lisa Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649681867 PECOS PAC ID: 0648521633 Enrollment ID: I20181002001488 |
| Provider Name | Jacqueline Alexandra Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700064664 PECOS PAC ID: 1052663804 Enrollment ID: I20181006000092 |
| Provider Name | Natalia Saunders-roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063858249 PECOS PAC ID: 5092069393 Enrollment ID: I20181126000587 |
| Provider Name | Kathleen Leaf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356606685 PECOS PAC ID: 9234473323 Enrollment ID: I20181129003352 |
| Provider Name | Allison P Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221158 PECOS PAC ID: 9537403498 Enrollment ID: I20181203003349 |
| Provider Name | Kenya L King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962980292 PECOS PAC ID: 1052656899 Enrollment ID: I20181221002185 |
| Provider Name | Ruchia Handy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588131312 PECOS PAC ID: 7911242656 Enrollment ID: I20181227000583 |
| Provider Name | Jordan R Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669965000 PECOS PAC ID: 1557607280 Enrollment ID: I20190116002550 |
| Provider Name | Canisha Gillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063981892 PECOS PAC ID: 0446597009 Enrollment ID: I20190122000623 |
| Provider Name | Cynthia Marengo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255821088 PECOS PAC ID: 0840537759 Enrollment ID: I20190131001051 |
| Provider Name | Tonya L Succio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902314479 PECOS PAC ID: 7315290749 Enrollment ID: I20190305003203 |
| Provider Name | Casey Belton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962865618 PECOS PAC ID: 8224377114 Enrollment ID: I20190312001518 |
| Provider Name | Christine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124402888 PECOS PAC ID: 4688915655 Enrollment ID: I20190402000122 |
| Provider Name | Paul A Furino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902065931 PECOS PAC ID: 2062575236 Enrollment ID: I20190415000314 |
| Provider Name | Yvonka S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548681190 PECOS PAC ID: 1658605084 Enrollment ID: I20190619000058 |
| Provider Name | Julia B Murchison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467730499 PECOS PAC ID: 0143555334 Enrollment ID: I20190710002177 |
| Provider Name | Sheryl Ann Meeuwsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730658790 PECOS PAC ID: 6406181015 Enrollment ID: I20190718000092 |
| Provider Name | Tiffany Dawn Ragan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447793542 PECOS PAC ID: 8123393311 Enrollment ID: I20190809001104 |
| Provider Name | Brooke Wacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033771563 PECOS PAC ID: 9335478692 Enrollment ID: I20190911002482 |
| Provider Name | Aundrea Shalise Guillaume-sponsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823723 PECOS PAC ID: 0143652636 Enrollment ID: I20191121002747 |
| Provider Name | Katsie Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669027991 PECOS PAC ID: 5698100980 Enrollment ID: I20200114003173 |
| Provider Name | Cynthia N Conseillant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194224568 PECOS PAC ID: 1254768724 Enrollment ID: I20200221001182 |
| Provider Name | Bridgette Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962035634 PECOS PAC ID: 3971931353 Enrollment ID: I20200318000899 |
| Provider Name | Natasha Leslie Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174183701 PECOS PAC ID: 4284064288 Enrollment ID: I20200414003935 |
| Provider Name | Sergelyne Desousces |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598302176 PECOS PAC ID: 8729418207 Enrollment ID: I20200423003332 |
| Provider Name | Tanisha Cieply |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326675646 PECOS PAC ID: 4880015031 Enrollment ID: I20200527000420 |
| Provider Name | Racquel Findlay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629222351 PECOS PAC ID: 4587087374 Enrollment ID: I20200713002107 |
| Provider Name | Jesus Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184710527 PECOS PAC ID: 8628493152 Enrollment ID: I20200731000268 |
| Provider Name | Cynthia Michelle Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033732276 PECOS PAC ID: 8022434760 Enrollment ID: I20200812002399 |
| Provider Name | Brittney Tattersall Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043556624 PECOS PAC ID: 3971922121 Enrollment ID: I20201007002606 |
| Provider Name | Benjamin Kyle Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992332373 PECOS PAC ID: 0840610564 Enrollment ID: I20201020000105 |
| Provider Name | Turnisha Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114389392 PECOS PAC ID: 7012327950 Enrollment ID: I20201105000380 |
| Provider Name | Meredith Leigh Templin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811599822 PECOS PAC ID: 4587076534 Enrollment ID: I20201215002755 |
| Provider Name | Brittany L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386203818 PECOS PAC ID: 1759794894 Enrollment ID: I20210108000829 |
| Provider Name | Daniel M Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659969137 PECOS PAC ID: 8820402852 Enrollment ID: I20210202002007 |
| Provider Name | Felicia Hansen-vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508408840 PECOS PAC ID: 4082020854 Enrollment ID: I20210303001889 |
| Provider Name | Claudia Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679039911 PECOS PAC ID: 6507273604 Enrollment ID: I20210407000440 |
| Provider Name | Allison Delores Brathwaite Delpesche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417515321 PECOS PAC ID: 8921417114 Enrollment ID: I20210428002769 |
| Provider Name | Marianne Y Alfaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558949990 PECOS PAC ID: 4789093915 Enrollment ID: I20210429001226 |
| Provider Name | Jennan F Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669076238 PECOS PAC ID: 6002225174 Enrollment ID: I20210503001834 |
| Provider Name | Robert D Desmarais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679067383 PECOS PAC ID: 6901137983 Enrollment ID: I20210511003124 |
| Provider Name | Rick Stephan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538517529 PECOS PAC ID: 9335558899 Enrollment ID: I20210513000385 |
| Provider Name | Dawn R Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053995241 PECOS PAC ID: 7315346343 Enrollment ID: I20210525001412 |
| Provider Name | Priscille M Joglar Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861469140 PECOS PAC ID: 1850301888 Enrollment ID: I20210602003288 |
| Provider Name | Gaurav Ashok Kulkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962714162 PECOS PAC ID: 9335374842 Enrollment ID: I20210614003259 |
| Provider Name | Robert James Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447851076 PECOS PAC ID: 2769883248 Enrollment ID: I20210622003549 |
| Provider Name | Douglas Scott Quirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124697503 PECOS PAC ID: 4284035080 Enrollment ID: I20210630003784 |
| Provider Name | Tamika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891363982 PECOS PAC ID: 5698178028 Enrollment ID: I20210722003468 |
| Provider Name | Kelly Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396251054 PECOS PAC ID: 0648674002 Enrollment ID: I20210806000826 |
| Provider Name | Violetta D Hinkell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780697391 PECOS PAC ID: 6406025741 Enrollment ID: I20210810003584 |
| Provider Name | Paula R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821564576 PECOS PAC ID: 0042623167 Enrollment ID: I20210811002548 |
| Provider Name | Nadia A Insanally |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942633094 PECOS PAC ID: 2567867419 Enrollment ID: I20210816003466 |
| Provider Name | Erika Charrell Albertie-young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508530668 PECOS PAC ID: 2668877937 Enrollment ID: I20210825000234 |
| Provider Name | Marlene Caridad Egusquiza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669014460 PECOS PAC ID: 9931505922 Enrollment ID: I20210830002865 |
| Provider Name | Lenea Cyntha Carnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801311428 PECOS PAC ID: 2567868219 Enrollment ID: I20210907000800 |
| Provider Name | Salacia L Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497263297 PECOS PAC ID: 1355747924 Enrollment ID: I20210907001852 |
| Provider Name | Charissa Zayas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841875630 PECOS PAC ID: 6204233307 Enrollment ID: I20210915003853 |
| Provider Name | Joel Socarras-rosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780866541 PECOS PAC ID: 3779649884 Enrollment ID: I20210927001382 |
| Provider Name | Jasmine A Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376213611 PECOS PAC ID: 9931507092 Enrollment ID: I20211005000974 |
| Provider Name | Rita Thanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508480229 PECOS PAC ID: 0648678326 Enrollment ID: I20211011001288 |
| Provider Name | Julie B. Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568138030 PECOS PAC ID: 2466850912 Enrollment ID: I20211013002262 |
| Provider Name | Melinda Marino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164184537 PECOS PAC ID: 1052709870 Enrollment ID: I20211028000623 |
| Provider Name | Anzola Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154092245 PECOS PAC ID: 3173912342 Enrollment ID: I20211109000777 |
| Provider Name | Anna Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275206716 PECOS PAC ID: 7618366790 Enrollment ID: I20211110002651 |
| Provider Name | Yulia Zhirnova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972273514 PECOS PAC ID: 2163811092 Enrollment ID: I20211116000840 |
| Provider Name | Tajuana Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285398156 PECOS PAC ID: 5799175162 Enrollment ID: I20211130000752 |
| Provider Name | Moses Enakiruvie Ekakitie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538831110 PECOS PAC ID: 7214329929 Enrollment ID: I20220110000025 |
| Provider Name | Travis Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205448560 PECOS PAC ID: 2567854128 Enrollment ID: I20220112000890 |
| Provider Name | Kaydean J Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063908242 PECOS PAC ID: 6204255805 Enrollment ID: I20220113000569 |
| Provider Name | Yanysel Gonzalez Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538824727 PECOS PAC ID: 2264824556 Enrollment ID: I20220118002446 |
| Provider Name | Emlyne St Helen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785980 PECOS PAC ID: 4587964051 Enrollment ID: I20220124001702 |
| Provider Name | Jerika Terese Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922762467 PECOS PAC ID: 0446643597 Enrollment ID: I20220214000054 |
| Provider Name | Krishnakumar Parameswran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851050850 PECOS PAC ID: 6709270622 Enrollment ID: I20220218000660 |
| Provider Name | Adara C Abdalah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295321412 PECOS PAC ID: 0749675262 Enrollment ID: I20220321001261 |
| Provider Name | Frances N Bernasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386242329 PECOS PAC ID: 2062673247 Enrollment ID: I20220330002789 |
| Provider Name | Lindsay Kathleen Nowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164176186 PECOS PAC ID: 3577959931 Enrollment ID: I20220412000464 |
| Provider Name | Natascha Katovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699421560 PECOS PAC ID: 0648667758 Enrollment ID: I20220420000053 |
| Provider Name | Adam Psyd Shemony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336809904 PECOS PAC ID: 7911394911 Enrollment ID: I20220421000768 |
| Provider Name | Natalie Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426371 PECOS PAC ID: 3577950401 Enrollment ID: I20220425000826 |
| Provider Name | Raziela Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114512506 PECOS PAC ID: 3870970635 Enrollment ID: I20220517000334 |
| Provider Name | Erica Tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982355178 PECOS PAC ID: 7416334016 Enrollment ID: I20220520001105 |
| Provider Name | Autumn Blair Belahmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679232714 PECOS PAC ID: 4486032059 Enrollment ID: I20220610000022 |
| Provider Name | Lisa Marie Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972170926 PECOS PAC ID: 8325427362 Enrollment ID: I20220621002926 |
| Provider Name | Deshire Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932854726 PECOS PAC ID: 8426437260 Enrollment ID: I20220624000352 |
| Provider Name | Sara Mousikos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023753910 PECOS PAC ID: 2668851445 Enrollment ID: I20220624001517 |
| Provider Name | Maria Cristina Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619281151 PECOS PAC ID: 2567842560 Enrollment ID: I20220708000658 |
| Provider Name | Shaquitia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144830191 PECOS PAC ID: 0446633382 Enrollment ID: I20220810001970 |
| Provider Name | Ulinda Coralee Mcdowall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700929 PECOS PAC ID: 7214310887 Enrollment ID: I20220815000826 |
| Provider Name | Yanett Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487386132 PECOS PAC ID: 3476936519 Enrollment ID: I20220822003527 |
| Provider Name | Maxine Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295478733 PECOS PAC ID: 1557745577 Enrollment ID: I20220825000122 |
| Provider Name | Michael A Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366068298 PECOS PAC ID: 8820472269 Enrollment ID: I20220902000011 |
| Provider Name | Alicia Dionne Betancourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215663265 PECOS PAC ID: 8628452018 Enrollment ID: I20220902001898 |
| Provider Name | Kristin Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409318 PECOS PAC ID: 9335523554 Enrollment ID: I20220907000568 |
| Provider Name | Paul Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770219701 PECOS PAC ID: 7719362623 Enrollment ID: I20220913003024 |
| Provider Name | Jacqueline M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730826538 PECOS PAC ID: 1658756184 Enrollment ID: I20220919002683 |
| Provider Name | Jessica Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720158595 PECOS PAC ID: 9830238815 Enrollment ID: I20220921002535 |
| Provider Name | Vennessa Kay-ann Beaumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144988288 PECOS PAC ID: 4587040746 Enrollment ID: I20220926003299 |
| Provider Name | Yanet Quiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841926276 PECOS PAC ID: 2961888904 Enrollment ID: I20220928003749 |
| Provider Name | Janile Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588122386 PECOS PAC ID: 6507242047 Enrollment ID: I20221006000636 |
| Provider Name | Cristina Elena Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174259709 PECOS PAC ID: 5597141945 Enrollment ID: I20221007002347 |
| Provider Name | Evelyn Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083906226 PECOS PAC ID: 0840666178 Enrollment ID: I20221011002975 |
| Provider Name | Jill C Rockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811503808 PECOS PAC ID: 6800262163 Enrollment ID: I20221012001638 |
| Provider Name | Da'twan Laurice Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346973187 PECOS PAC ID: 4183090129 Enrollment ID: I20221017002767 |
| Provider Name | Audrey Kathryn Dona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598486482 PECOS PAC ID: 9739557265 Enrollment ID: I20221115000542 |
| Provider Name | Jennifer Lynn Emrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346957388 PECOS PAC ID: 0840668315 Enrollment ID: I20221115002181 |
| Provider Name | Tirsit Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376603951 PECOS PAC ID: 7719269620 Enrollment ID: I20221220001310 |
| Provider Name | Nancy Motherway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548509219 PECOS PAC ID: 5496133621 Enrollment ID: I20230130002672 |
| Provider Name | Sasha Gay Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265148894 PECOS PAC ID: 2567834559 Enrollment ID: I20230221003069 |
| Provider Name | Wilson Tadeu Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683778 PECOS PAC ID: 9234502063 Enrollment ID: I20230227001415 |
| Provider Name | Tania Sophia Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295445914 PECOS PAC ID: 4284008244 Enrollment ID: I20230315001178 |
| Provider Name | Hanna Soliman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154078129 PECOS PAC ID: 1658745286 Enrollment ID: I20230323000061 |
| Provider Name | Stacey Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295434637 PECOS PAC ID: 4486028941 Enrollment ID: I20230323001996 |
| Provider Name | Sreejithkumar Sasidharan Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579669 PECOS PAC ID: 5799150934 Enrollment ID: I20230331001317 |
| Provider Name | Krystle Mcgrady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194366799 PECOS PAC ID: 3274908017 Enrollment ID: I20230411000105 |
| Provider Name | Khadene Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902502008 PECOS PAC ID: 8022483668 Enrollment ID: I20230412001614 |
| Provider Name | Carmen Herbruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922346477 PECOS PAC ID: 7810362365 Enrollment ID: I20230414000157 |
| Provider Name | Carla Selene Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487357331 PECOS PAC ID: 4284099300 Enrollment ID: I20230425001331 |
| Provider Name | Georgia Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194448886 PECOS PAC ID: 0244695260 Enrollment ID: I20230426003180 |
| Provider Name | Yvonne Benco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598468845 PECOS PAC ID: 1153787460 Enrollment ID: I20230511001441 |
| Provider Name | Marsha Marie Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649960998 PECOS PAC ID: 3375900731 Enrollment ID: I20230531001806 |
| Provider Name | Mandy Jo Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558056671 PECOS PAC ID: 8921465105 Enrollment ID: I20230602000601 |
| Provider Name | Heidi Arroyo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740583715 PECOS PAC ID: 6608233689 Enrollment ID: I20230607000019 |
| Provider Name | Jenrry Medinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760173660 PECOS PAC ID: 1254798085 Enrollment ID: I20230608002875 |
| Provider Name | Keisha Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558061887 PECOS PAC ID: 9537527825 Enrollment ID: I20230619000901 |
| Provider Name | Abbdady Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710522016 PECOS PAC ID: 1254790124 Enrollment ID: I20230711000062 |
| Provider Name | Christopher A Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922794809 PECOS PAC ID: 3375902174 Enrollment ID: I20230711001504 |
| Provider Name | Timothy Mahaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386329514 PECOS PAC ID: 8224498613 Enrollment ID: I20230717003156 |
| Provider Name | Jennifer Reaves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801483029 PECOS PAC ID: 0941661599 Enrollment ID: I20230731001546 |
| Provider Name | Whitney Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508550161 PECOS PAC ID: 7618338153 Enrollment ID: I20230801001702 |
| Provider Name | Anthony Bisignano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467133025 PECOS PAC ID: 3870955057 Enrollment ID: I20230821001221 |
| Provider Name | Dayana Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568023091 PECOS PAC ID: 8022495068 Enrollment ID: I20230828000747 |
| Provider Name | Terence Vereen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063192185 PECOS PAC ID: 7113380775 Enrollment ID: I20230829004533 |
| Provider Name | Melody Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285316661 PECOS PAC ID: 1850754334 Enrollment ID: I20230831000197 |
| Provider Name | Melissa Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619751534 PECOS PAC ID: 3971967795 Enrollment ID: I20230913000828 |
| Provider Name | Josue Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467131110 PECOS PAC ID: 5395109136 Enrollment ID: I20230913001414 |
| Provider Name | Juan Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194436170 PECOS PAC ID: 0840654448 Enrollment ID: I20230915000388 |
| Provider Name | Samuel Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811674757 PECOS PAC ID: 3577917590 Enrollment ID: I20230925003806 |
| Provider Name | Debbie Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780857 PECOS PAC ID: 1951755644 Enrollment ID: I20230928003555 |
| Provider Name | Nicholas Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184401200 PECOS PAC ID: 0840645156 Enrollment ID: I20231006000022 |
| Provider Name | Chelsie Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912583063 PECOS PAC ID: 0547615742 Enrollment ID: I20231009000102 |
| Provider Name | Zayna Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770361123 PECOS PAC ID: 8325493133 Enrollment ID: I20231014000681 |
| Provider Name | Kandis Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912685751 PECOS PAC ID: 4880049519 Enrollment ID: I20231016001168 |
| Provider Name | Kim Durrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225719396 PECOS PAC ID: 5698121721 Enrollment ID: I20231026001043 |
| Provider Name | Debra Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700668233 PECOS PAC ID: 9234585209 Enrollment ID: I20231026003722 |
| Provider Name | Stephanie Marin-field |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528484938 PECOS PAC ID: 1759739162 Enrollment ID: I20231126000038 |
| Provider Name | Chyade Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942081609 PECOS PAC ID: 9032567482 Enrollment ID: I20231127001420 |
| Provider Name | Shari-jo Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659157345 PECOS PAC ID: 8921458233 Enrollment ID: I20231228003928 |
| Provider Name | Marie Emmanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457123176 PECOS PAC ID: 8426408535 Enrollment ID: I20240102000437 |
| Provider Name | Lisa M Loving |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649761891 PECOS PAC ID: 7012368780 Enrollment ID: I20240106000209 |
| Provider Name | Sendy Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154199230 PECOS PAC ID: 4587015920 Enrollment ID: I20240110000651 |
| Provider Name | Susan Forbes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619228640 PECOS PAC ID: 2264884261 Enrollment ID: I20240116000327 |
| Provider Name | Lenora Enix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295707495 PECOS PAC ID: 8921067497 Enrollment ID: I20240131003182 |
| Provider Name | Maudlen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457124356 PECOS PAC ID: 2466805700 Enrollment ID: I20240202000199 |
| Provider Name | Susan Webster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477668051 PECOS PAC ID: 7911086780 Enrollment ID: I20240212002235 |
| Provider Name | Reinier Galvez Piedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528709060 PECOS PAC ID: 5496199770 Enrollment ID: I20240214002184 |
| Provider Name | Mark Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467229401 PECOS PAC ID: 2466897624 Enrollment ID: I20240227002945 |
| Provider Name | Amber Trautman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962264366 PECOS PAC ID: 3870939903 Enrollment ID: I20240312002465 |
Siva Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2845 Se 3rd Ct, Ocala, FL 34471 Phone: 352-369-5300 Fax: 352-369-5309 | |
Central Florida Heart Group P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Sw Hwy 200, Suite 300, Ocala, FL 34476 Phone: 352-237-4116 Fax: 352-237-1785 | |
Munroe Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Sw 1st Ave, Ocala, FL 34471 Phone: 352-867-8311 Fax: 352-867-1053 | |
Integrative Health Care And Physical Medicine Ocala Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3256 S Pine Ave Ste 301, Ocala, FL 34471 Phone: 352-369-6325 Fax: 352-369-6329 | |
Poonam Warman M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Se Magnolia Ext Ste 202, Ocala, FL 34471 Phone: 352-369-6139 | |
Marion Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Se Lake Weir Ave, Ocala, FL 34471 Phone: 352-629-9634 Fax: 352-629-6350 | |
Ocala Innovative Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5481 Sw 60th St, Unit 302, Ocala, FL 34474 Phone: 352-840-0444 |