Mr Ronald D Philogene, APRN | |
701 Old Dixie Hwy, Jupiter, FL 33469-2493 | |
(561) 356-8856 | |
Not Available |
Full Name | Mr Ronald D Philogene |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 701 Old Dixie Hwy, Jupiter, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922687995 | NPI | - | NPPES |
APRN11012516 | Other | FL | FLORIDA STATE BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11012516 (Florida) | Primary |
Entity Name | Psychiatric Specialty Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841678141 PECOS PAC ID: 2961702089 Enrollment ID: O20151123000119 |
Mailing Address | Practice Location Address |
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Mr Ronald D Philogene, APRN 701 Old Dixie Hwy, Tequesta, FL 33469-2493 Ph: (561) 356-8856 | Mr Ronald D Philogene, APRN 701 Old Dixie Hwy, Jupiter, FL 33469-2493 Ph: (561) 356-8856 |
Michele Shockley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 Jupiter Lakes Blvd, Building 2000, Jupiter, FL 33458 Phone: 561-748-1888 | |
Tiffany Stureman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5155 Corporate Way, Unit A, Jupiter, FL 33458 Phone: 561-624-0123 | |
Jessica Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3303 Duval St, Jupiter, FL 33458 Phone: 561-248-6875 | |
Kaymie Poldo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 University Blvd Ste 102, Jupiter, FL 33458 Phone: 561-909-0080 Fax: 561-246-3338 | |
Berlyne Louisius, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458 Phone: 561-635-5690 Fax: 561-406-6629 | |
Mary Huser, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Military Trl, Suite 200, Jupiter, FL 33458 Phone: 561-746-2411 Fax: 561-354-0012 | |
Mrs. Mariya Yankelevych, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Jupiter Lakes Blvd, Suite 4104, Jupiter, FL 33458 Phone: 561-743-9077 Fax: 561-743-9937 |