| Stacy R Ross Aprn Llc | |
|
3455 Countryside Blvd Unit 12 Clearwater FL 33761-1306 | |
| (859) 325-3059 | |
| Not Available |
| Full Name | Stacy R Ross Aprn Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3455 Countryside Blvd Unit 12, Clearwater, Florida |
| Authorized Official Name and Position | Stacy Renee Ross (OWNER) |
| Authorized Official Contact | 8593253059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy R Ross Aprn Llc 3455 Countryside Blvd Unit 12 Clearwater FL 33761-1306 Ph: (859) 325-3059 | Stacy R Ross Aprn Llc 3455 Countryside Blvd Unit 12 Clearwater FL 33761-1306 Ph: (859) 325-3059 |
| NPI Number | 1881376143 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 8022471341 |
|---|---|
| Medicare Enrollment ID | O20230901002847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881376143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stacy Renee Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013695055 PECOS PAC ID: 7315336518 Enrollment ID: I20230906003764 |
Loredana Repetto Lcsw & Assoc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 Phone: 727-669-3911 Fax: 727-669-3813 | |
Empower, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Range Rd, Clearwater, FL 33765 Phone: 727-410-8911 Fax: 727-223-8917 | |
Baycare Medical Group, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2995 Drew St Fl 2, Clearwater, FL 33759 Phone: 727-281-9065 | |
Bay Area Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13575 58th St N, Suite 131, Clearwater, FL 33760 Phone: 813-689-8828 Fax: 813-689-8802 | |
Camelot Community Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Creekside Dr, Suite D, Clearwater, FL 33760 Phone: 727-593-0003 Fax: 727-596-1713 | |
Renee Michaels Lcsw Cap Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Rd, Suite 203, Clearwater, FL 33765 Phone: 727-669-3811 Fax: 727-669-3813 | |
Debbie A. Noe, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2451 N Mcmullen Booth Rd, Clearwater, FL 33759 Phone: 727-542-8662 |