Jason Sirel, APRN | |
525 N Dacie Pt, Lecanto, FL 34461-8399 | |
(352) 746-2200 | |
(352) 746-9320 |
Full Name | Jason Sirel |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 525 N Dacie Pt, Lecanto, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114643152 | NPI | - | NPPES |
115973000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | APRN11022181 (Florida) | Primary |
Entity Name | Dermatology Institute And Skin Cancer Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891319422 PECOS PAC ID: 5597187930 Enrollment ID: O20200612000903 |
Mailing Address | Practice Location Address |
---|---|
Jason Sirel, APRN 4651 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 321-1786 | Jason Sirel, APRN 525 N Dacie Pt, Lecanto, FL 34461-8399 Ph: (352) 746-2200 |
Sally E Mcdonald, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Tiffany Eddins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Ashton Mae Wester, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Nancy Hindalong, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 | |
Charles F. Brinegar Jr., ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 | |
Mrs. Ann Marie O'shall, APRN FNP BC-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 |