Mrs Kasey Acklin, CRNP | |
40100 Highway 27, Davenport, FL 33837-5906 | |
(863) 422-4971 | |
Not Available |
Full Name | Mrs Kasey Acklin |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 40100 Highway 27, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114645132 | NPI | - | NPPES |
024184852 | Other | VA | VIRGINIA BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11032864 (Florida) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | 0024184852 (Virginia) | Secondary |
Entity Name | Southeastern Intensivist Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912942665 PECOS PAC ID: 9335152107 Enrollment ID: O20190131001122 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kasey Acklin, CRNP 15011 Glory Dr Se, Huntsville, AL 35803-2445 Ph: (540) 850-1768 | Mrs Kasey Acklin, CRNP 40100 Highway 27, Davenport, FL 33837-5906 Ph: (863) 422-4971 |
Briana Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Karen R Elias Valladares, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Heather Lynn Dr, Davenport, FL 33897 Phone: 703-626-7788 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 | |
Catherine Reynolds, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2516 Sand Mine Rd, Davenport, FL 33897 Phone: 863-232-5527 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 |