| Vericare | |
|
4240 Lakeland Highlands Rd Lakeland FL 33813-3113 | |
| (800) 257-8715 | |
| (800) 819-1655 |
| Full Name | Vericare |
|---|---|
| Speciality | Psychologist |
| Location | 4240 Lakeland Highlands Rd, Lakeland, Florida |
| Authorized Official Name and Position | Melissa King (DIRECTOR OF CREDENTIALING & ENROLLM) |
| Authorized Official Contact | 8003703651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vericare 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | Vericare 4240 Lakeland Highlands Rd Lakeland FL 33813-3113 Ph: (800) 257-8715 |
| NPI Number | 1851331086 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 07/11/2017 |
| Medicare PECOS PAC ID | 7416854468 |
|---|---|
| Medicare Enrollment ID | O20031217000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851331086 | NPI | - | NPPES |
| CJ2290 | Other | CA | RAILROAD MEDICARE |
| 38509 | Other | FL | BLUE CROSS BLUE SHIELD |
| Provider Name | Linda B Munday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932196680 PECOS PAC ID: 0042299265 Enrollment ID: I20040720000257 |
| Provider Name | Cristina M Mejia Millan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194820795 PECOS PAC ID: 6608834817 Enrollment ID: I20050216000573 |
| Provider Name | Rachel Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649267097 PECOS PAC ID: 7214970623 Enrollment ID: I20050607000540 |
| Provider Name | Agnes Tolentino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669589891 PECOS PAC ID: 4082649405 Enrollment ID: I20051004000662 |
| Provider Name | Elizabeth A Handte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144293168 PECOS PAC ID: 3476572413 Enrollment ID: I20051118000182 |
| Provider Name | Scott M Costanza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336354752 PECOS PAC ID: 7416043021 Enrollment ID: I20071012000179 |
| Provider Name | Christa H Sedney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598872384 PECOS PAC ID: 6204870751 Enrollment ID: I20081021000410 |
| Provider Name | Michael A Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194031880 PECOS PAC ID: 0547386021 Enrollment ID: I20100922000790 |
| Provider Name | Tamara Haberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407119548 PECOS PAC ID: 7618133646 Enrollment ID: I20120719000357 |
| Provider Name | Sharon M Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487903605 PECOS PAC ID: 1557511524 Enrollment ID: I20121029000322 |
| Provider Name | Sherron Lurline Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922352905 PECOS PAC ID: 7618129248 Enrollment ID: I20121206000263 |
| Provider Name | Manuel Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386718062 PECOS PAC ID: 0941242564 Enrollment ID: I20130814000592 |
| Provider Name | Mary Louise Hudson Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804258 PECOS PAC ID: 5092959155 Enrollment ID: I20130912000070 |
| Provider Name | Judy E Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831488410 PECOS PAC ID: 6406073832 Enrollment ID: I20140808000797 |
| Provider Name | Ryan W Macalua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174919377 PECOS PAC ID: 4880975911 Enrollment ID: I20170104001801 |
| Provider Name | Michael Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578919973 PECOS PAC ID: 8426100199 Enrollment ID: I20170426002714 |
| Provider Name | Karem Cando Rovira |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790893949 PECOS PAC ID: 7911913603 Enrollment ID: I20171017003456 |
| Provider Name | Sheeba Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023285848 PECOS PAC ID: 7214183680 Enrollment ID: I20180709003259 |
| Provider Name | Marinette Asuncion-uy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477880326 PECOS PAC ID: 0042561508 Enrollment ID: I20180921001173 |
| Provider Name | Martha Dedricks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144453036 PECOS PAC ID: 7315282373 Enrollment ID: I20181219000899 |
| Provider Name | Zaylee Otero-martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720504236 PECOS PAC ID: 2466888169 Enrollment ID: I20200128001963 |
| Provider Name | Sherry Mae Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336751734 PECOS PAC ID: 4981014768 Enrollment ID: I20201105002539 |
| Provider Name | Stacy Marie Humphreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841698065 PECOS PAC ID: 3274948815 Enrollment ID: I20210212001530 |
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