| Michelle R Demenkow, Pa | |
|
14201 W Sunrise Blvd Ste 208 Sunrise FL 33323 | |
| (954) 851-9690 | |
| (954) 366-5056 |
| Full Name | Michelle R Demenkow, Pa |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14201 W Sunrise Blvd Ste 208, Sunrise, Florida |
| Authorized Official Name and Position | Michelle R Demenkow (OWNER) |
| Authorized Official Contact | 9548568703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Demenkow, Pa 14201 W Sunrise Blvd Ste 208 Sunrise FL 33323-3207 Ph: (954) 851-9690 | Michelle R Demenkow, Pa 14201 W Sunrise Blvd Ste 208 Sunrise FL 33323 Ph: (954) 851-9690 |
| NPI Number | 1962435271 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 4284652777 |
|---|---|
| Medicare Enrollment ID | O20051103000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962435271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6763 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP9211884 (Florida) | Primary |
| Provider Name | Michelle R Demenkow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063606614 PECOS PAC ID: 7214835966 Enrollment ID: I20131118001588 |
| Provider Name | Michelle R Demenkow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063606614 PECOS PAC ID: 7214835966 Enrollment ID: I20160726003108 |
Aba Of Human Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11830 Nw 42nd St, Sunrise, FL 33323 Phone: 786-247-9986 | |
Charlie Health Medical Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 Sawgrass Corporate Pkwy, Sunrise, FL 33323 Phone: 406-219-7835 | |
Psychology And Wellness By Sullivan Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Sawgrass Corporate Pkwy # 107, Sunrise, FL 33323 Phone: 954-253-2584 | |
Wallmart Properties Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 Nw 130th Ave Apt 208, Sunrise, FL 33323 Phone: 786-356-2639 | |
Prema Counseling & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Oakland Park Blvd Ste 107, Sunrise, FL 33351 Phone: 754-281-7097 | |
Indiheartandmind Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8395 W Oakland Park Blvd Ste C, Sunrise, FL 33351 Phone: 561-404-1422 | |
Kai Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2679 Nw 60th Way, Sunrise, FL 33313 Phone: 954-283-7159 |