Amanda Carlene Lucero, APRN | |
2914 Kenilworth Blvd, Sebring, FL 33870-4307 | |
(886) 658-1764 | |
(855) 847-7646 |
Full Name | Amanda Carlene Lucero |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 2914 Kenilworth Blvd, Sebring, 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 |
---|---|---|---|
1316913239 | NPI | - | NPPES |
307168500 | Medicaid | FL | |
307168500 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2980082 (Florida) | Primary |
363LF0000X | Nurse Practitioner - Family | ARNP2980082 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Sebring | Sebring, FL | Hospital |
Entity Name | Customized Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790335164 PECOS PAC ID: 6406280825 Enrollment ID: O20191218000657 |
Mailing Address | Practice Location Address |
---|---|
Amanda Carlene Lucero, APRN 2914 Kenilworth Blvd, Sebring, FL 33870-4307 Ph: (863) 658-1764 | Amanda Carlene Lucero, APRN 2914 Kenilworth Blvd, Sebring, FL 33870-4307 Ph: (886) 658-1764 |
Mckenna Cobb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 Ryant Blvd, Sebring, FL 33870 Phone: 863-382-4445 | |
Jennifer L Wickham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 S Egret St, Sebring, FL 33870 Phone: 863-214-5478 | |
Marcella Vazquez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5901 Us Highway 27 S, Sebring, FL 33870 Phone: 863-471-6227 | |
Melissa Michelle Somers, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4200 Sun N Lake Blvd, Sebring, FL 33872 Phone: 863-314-4466 | |
Rachyl D Ireland, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4200 Sun N Lake Blvd, Sebring, FL 33872 Phone: 863-382-6183 Fax: 863-382-1433 | |
Mary Carmen Cornejo, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3735 Sparta Rd, Sebring, FL 33870 Phone: 863-449-7908 | |
Melina Davita Hoffman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4759 Lakeview Dr Ste 101, Sebring, FL 33870 Phone: 863-402-5600 Fax: 863-402-5602 |