| Mrs Ann Marie O'shall, APRN FNP BC-C | |
|
1990 N Prospect Ave, Lecanto, FL 34461-9792 | |
| (352) 527-6888 | |
| (352) 527-8818 |
| Full Name | Mrs Ann Marie O'shall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1990 N Prospect Ave, Lecanto, 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 |
|---|---|---|---|
| 1174156855 | NPI | - | NPPES |
| 105693100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11006199 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pediatric And Internal Medicine Specialists Inc | 4486672391 | 8 |
| Pedim Outreach And Specialty Clinic Llc | 7315227782 | 4 |
| Entity Name | Pediatric And Internal Medicine Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396805115 PECOS PAC ID: 4486672391 Enrollment ID: O20051109000787 |
| Entity Name | Quick Care Med, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265662126 PECOS PAC ID: 8325202740 Enrollment ID: O20120615000292 |
| Entity Name | Pedim Outreach And Specialty Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851848097 PECOS PAC ID: 7315227782 Enrollment ID: O20161201001585 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ann Marie O'shall, APRN FNP BC-C Po Box 2066, Lecanto, FL 34460-2066 Ph: (352) 563-0931 | Mrs Ann Marie O'shall, APRN FNP BC-C 1990 N Prospect Ave, Lecanto, FL 34461-9792 Ph: (352) 527-6888 |
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 | |
Jason Sirel, APRN Nurse Practitioner Medicare: Medicare Enrolled 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 |