| Ivelisse Cruz, APRN | |
|
5615 S Florida Ave Ste 111, Lakeland, FL 33813-2714 | |
| (863) 327-0132 | |
| (863) 777-2320 |
| Full Name | Ivelisse Cruz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5615 S Florida Ave Ste 111, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497324396 | NPI | - | NPPES |
| 113978600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 11011713 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11011713 (Florida) | Primary |
| Entity Name | Access Medical Group Of Lakeland, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396391033 PECOS PAC ID: 3476977406 Enrollment ID: O20200722003508 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivelisse Cruz, APRN 6100 Blue Lagoon Dr Ste 365, Miami, FL 33126-7010 Ph: (786) 322-7333 | Ivelisse Cruz, APRN 5615 S Florida Ave Ste 111, Lakeland, FL 33813-2714 Ph: (863) 327-0132 |
Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765 | |
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881 | |
Jennifer Frasier, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-607-9776 | |
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519 | |
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387 | |
Reanna Maxwell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 Edgewood Dr S, Lakeland, FL 33803 Phone: 863-232-4323 Fax: 863-337-5728 | |
Anjali Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 |