Kathlene Ayala, | |
4828 Coconut Creek Parkway, Coconut Creek, FL 33063 | |
(954) 247-2168 | |
(844) 501-2948 |
Full Name | Kathlene Ayala |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 4828 Coconut Creek Parkway, Coconut Creek, 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 |
---|---|---|---|
1831695519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9347346 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conviva Specialty Llc | 2365729308 | 11 |
Entity Name | Conviva Specialty Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326498676 PECOS PAC ID: 2365729308 Enrollment ID: O20170501001372 |
Mailing Address | Practice Location Address |
---|---|
Kathlene Ayala, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Kathlene Ayala, 4828 Coconut Creek Parkway, Coconut Creek, FL 33063 Ph: (954) 247-2168 |
Jacqueline Dixon, BSN, RN, MSNFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4160 Nw 62nd Ct, Coconut Creek, FL 33073 Phone: 954-501-1668 | |
Andra M Hanlon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Lyons Rd, #110, Coconut Creek, FL 33073 Phone: 954-971-3210 Fax: 954-971-3427 | |
Dr. Jennifer Catherine Peterson, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5561 Nw 49th Way, Coconut Creek, FL 33073 Phone: 954-234-1237 | |
Michelle Nichole Sin, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3679 Cocoplum Cir Unit 3528, Coconut Creek, FL 33063 Phone: 717-658-8353 | |
Ijeoma Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5005 Wiles Rd Apt 208, Coconut Creek, FL 33073 Phone: 754-234-4955 | |
Geetha Reddy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4601 N State Road 7, Coconut Creek, FL 33073 Phone: 866-825-3227 | |
Mrs. Katrina Morris Joseph, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 526 Nw 47th Ave, Coconut Creek, FL 33063 Phone: 954-956-7431 |