Mrs Kathleen Young Harrell, ARNP | |
17121 Rainbow Terrace, Odessa, FL 33556 | |
(813) 749-6707 | |
(813) 475-4831 |
Full Name | Mrs Kathleen Young Harrell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 17121 Rainbow Terrace, Odessa, 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 |
---|---|---|---|
1043295090 | NPI | - | NPPES |
302647700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2826532 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 2826532 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Wide Dermatology 'llc' | 1052531035 | 5 |
Entity Name | State Wide Dermatology "llc" |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427473073 PECOS PAC ID: 1052531035 Enrollment ID: O20140926000483 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathleen Young Harrell, ARNP 17121 Rainbow Terrace, Odessa, FL 33556 Ph: (813) 749-6907 | Mrs Kathleen Young Harrell, ARNP 17121 Rainbow Terrace, Odessa, FL 33556 Ph: (813) 749-6707 |
Melissa D Erb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Short Ave, Odessa, FL 33556 Phone: 727-807-2476 | |
Elizabeth Tavernari, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11826 State Road 54, Odessa, FL 33556 Phone: 813-616-8001 Fax: 813-616-8015 | |
Shelley Camille Morgan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7708 Isabella Ln, Odessa, FL 33556 Phone: 904-536-8334 | |
Mr. Gonzalo Arboleda, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15985 Preserve Marketplace Blvd Unit 107, Odessa, FL 33556 Phone: 727-416-2845 | |
Mrs. Stephanie Marcene Mcquillan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19817 Wyndham Lakes Dr, Odessa, FL 33556 Phone: 727-543-5178 | |
Heather A Huyser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16021 Shinnecock Dr, Odessa, FL 33556 Phone: 508-735-1873 |