Geraldine Vickers, CRNP | |
3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | |
(877) 866-7123 | |
(855) 855-2792 |
Full Name | Geraldine Vickers |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3601 Sw 160th Ave, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194147512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP007884 (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
---|---|
Geraldine Vickers, CRNP 2 Old Orchard Ln, Mountain Top, PA 18707-1741 Ph: (570) 793-4280 | Geraldine Vickers, CRNP 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 Ph: (877) 866-7123 |
Jennifer Richards, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3720 Executive Way Ste 106, Miramar, FL 33025 Phone: 877-868-4827 | |
Yarixel Gache Ortiz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12204 Miramar Pkwy Ste 13, Miramar, FL 33025 Phone: 786-372-3654 | |
Claudline Pierre Louis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Sw 35th Ct, Miramar, FL 33023 Phone: 786-200-0227 | |
Marie S Laguerre, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13793 Sw 26th St, Miramar, FL 33027 Phone: 305-987-4198 Fax: 954-433-4622 | |
Mrs. Marie Monique Charles, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Knolls Rd, Miramar, FL 33025 Phone: 305-491-3396 | |
Ashley E Huergo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14601 Sw 37th St, Miramar, FL 33027 Phone: 786-942-8781 | |
Katiana Legagneur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2341 Pine Tree Dr, Miramar, FL 33023 Phone: 239-324-6854 |