Miss Katie Elizabeth Deines, | |
1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | |
(863) 687-1100 | |
Not Available |
Full Name | Miss Katie Elizabeth Deines |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 1324 Lakeland Hills Blvd, 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 |
---|---|---|---|
1932741683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9470219 (Florida) | Primary |
Entity Name | Avera St Marys |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Mailing Address | Practice Location Address |
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Miss Katie Elizabeth Deines, 1546 Foxridge Run Sw, Winter Haven, FL 33880-2616 Ph: (863) 225-1475 | Miss Katie Elizabeth Deines, 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 Ph: (863) 687-1100 |
Mr. Kelsan Mckenzie Conekin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100 | |
Celeste Maria Shivak, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3241 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-413-2620 | |
Jeremiah James Pastor, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Jeremy Aaron Jones, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Loretta Mccracken, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 715 N Lake Ave, Lakeland, FL 33801 Phone: 863-519-0575 Fax: 863-582-9251 | |
Mr. Raymond P Owens, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1523 Meadowbrook Ave, Lakeland, FL 33803 Phone: 863-738-0062 | |
Andrea Lisa Entin, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1321 Fax: 863-284-1730 |