Mrs Penny L Houseman, NP-C | |
227 Se 43rd Ter, Cape Coral, FL 33904-8424 | |
(239) 738-8311 | |
(239) 778-9789 |
Full Name | Mrs Penny L Houseman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 227 Se 43rd Ter, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609279314 | NPI | - | NPPES |
201258910 | Medicaid | IN | |
000000899250 | Other | IN | ANTHEM |
0117645 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71005194A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11011390 (Florida) | Primary |
Entity Name | South West Florida Complete Health Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942937412 PECOS PAC ID: 9335516525 Enrollment ID: O20221101000154 |
Mailing Address | Practice Location Address |
---|---|
Mrs Penny L Houseman, NP-C 227 Se 43rd Ter, Cape Coral, FL 33904-8424 Ph: (239) 738-8311 | Mrs Penny L Houseman, NP-C 227 Se 43rd Ter, Cape Coral, FL 33904-8424 Ph: (239) 738-8311 |
Yamell Martin Perez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Se 21st Ter, Cape Coral, FL 33990 Phone: 239-888-0508 | |
Diana Acosta Romero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904 Phone: 239-317-0265 Fax: 239-673-7681 | |
Zunia Garcia Padron, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Nw 17th St, Cape Coral, FL 33993 Phone: 239-245-0010 | |
Haney Sosa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 Nw 20th St, Cape Coral, FL 33993 Phone: 239-308-8918 | |
Kelsie Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 7, Cape Coral, FL 33990 Phone: 239-424-3660 Fax: 239-424-3663 | |
Nadeige Sylvie Jean-jules, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 737 Cape Coral Pkwy E, Cape Coral, FL 33904 Phone: 239-542-0512 | |
Mauricio Tejada Valencia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1528 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-458-3338 Fax: 239-458-0666 |