Mr Kelvin Dupera, PMHNP | |
308 Nw 5th Ave, Okeechobee, FL 34972-2568 | |
(863) 261-8354 | |
(863) 638-5637 |
Full Name | Mr Kelvin Dupera |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 308 Nw 5th Ave, Okeechobee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285216234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11012550 (Florida) | Primary |
163W00000X | Registered Nurse | 9413104 (Florida) | Secondary |
Entity Name | Impower, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104910868 PECOS PAC ID: 6507924883 Enrollment ID: O20081015000736 |
Entity Name | Health Haven Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265824858 PECOS PAC ID: 7911212634 Enrollment ID: O20150810002451 |
Mailing Address | Practice Location Address |
---|---|
Mr Kelvin Dupera, PMHNP 308 Nw 5th Ave, Okeechobee, FL 34972-2568 Ph: (863) 261-8354 | Mr Kelvin Dupera, PMHNP 308 Nw 5th Ave, Okeechobee, FL 34972-2568 Ph: (863) 261-8354 |
Audreylyn Waldo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1713 Hwy 441 North, Suite C, Okeechobee, FL 34972 Phone: 863-467-2159 Fax: 863-763-0681 | |
Kyla Danielle Hargraves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Se Park St, Okeechobee, FL 34972 Phone: 863-763-1107 | |
Binette Apsalon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-7481 Fax: 844-542-4899 | |
Nathalie Grant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-7481 Fax: 863-763-5920 | |
Nancy Lynn Saunders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1713 Us Highway 441 N, Suite D, Okeechobee, FL 34972 Phone: 863-467-1117 | |
Khamphou Manivanh Mosley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-7481 Fax: 844-542-4899 | |
Jo Anne Weiss, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-1951 Fax: 863-357-2991 |