Evelyn Susanne Bengston, APRN | |
25652 Nw 176th Ln, High Springs, FL 32643-2452 | |
(863) 885-9216 | |
Not Available |
Full Name | Evelyn Susanne Bengston |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25652 Nw 176th Ln, High Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881685758 | NPI | - | NPPES |
302076200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP2209102 (Florida) | Primary |
Entity Name | Solantic/south Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
Entity Name | Solantic Of Jacksonville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
Entity Name | Hma-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
Entity Name | Shands-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
Mailing Address | Practice Location Address |
---|---|
Evelyn Susanne Bengston, APRN 25652 Nw 176th Ln, High Springs, FL 32643-2452 Ph: (863) 885-9216 | Evelyn Susanne Bengston, APRN 25652 Nw 176th Ln, High Springs, FL 32643-2452 Ph: (863) 885-9216 |
Kylie Jean Altman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20764 Nw 166th Pl, High Springs, FL 32643 Phone: 954-245-2840 | |
Ms. Ann Elizabeth Lane, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 216 Sw Heartsong Ct, High Springs, FL 32643 Phone: 386-454-7763 Fax: 386-454-7404 | |
Mrs. Cami Millicent Cowart, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18743 Nw 234th St, High Springs, FL 32643 Phone: 386-454-0721 Fax: 386-454-0722 | |
Angeli E Harris, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16916 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-0568 Fax: 352-224-7899 | |
Dessie D Meltzer, ARNP C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23476 W Us Highway 27, High Springs, FL 32643 Phone: 386-454-0568 | |
Jo-anne Gammon, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25406 Nw 168th Pl, High Springs, FL 32643 Phone: 352-231-1380 | |
Andrea Colette Johnson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19204 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-7746 Fax: 386-454-3034 |