Ms Adair Lynne Deicke, | |
2740 Coconut Bay Ln Unit 3g, Sarasota, FL 34237-3055 | |
(727) 239-9938 | |
Not Available |
Full Name | Ms Adair Lynne Deicke |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2740 Coconut Bay Ln Unit 3g, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922185628 | NPI | - | NPPES |
303680400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0941812 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 941812 (Florida) | Primary |
Entity Name | Advanced Behavioral Clinicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639793326 PECOS PAC ID: 6901226737 Enrollment ID: O20201016002370 |
Mailing Address | Practice Location Address |
---|---|
Ms Adair Lynne Deicke, 2740 Coconut Bay Ln Unit 3g, Sarasota, FL 34237-3055 Ph: (727) 239-9938 | Ms Adair Lynne Deicke, 2740 Coconut Bay Ln Unit 3g, Sarasota, FL 34237-3055 Ph: (727) 239-9938 |
Ms. Wanda Krakowski Hoerning, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7816 Camminare Dr, Sarasota, FL 34238 Phone: 941-923-9048 | |
Paula Rene Sanders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Ringling Blvd, Sarasota, FL 34237 Phone: 941-861-2900 | |
Derek Jason Sisk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3554 65th Avenue Cir E, Sarasota, FL 34243 Phone: 941-250-4279 | |
Jennifer Szczuka, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2881 Hyde Park St, Sarasota, FL 34239 Phone: 941-366-5440 Fax: 941-366-5793 | |
Kayla Maureen Fenske, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Cattlemen Rd Ste 200, Sarasota, FL 34232 Phone: 941-377-9993 Fax: 941-343-0026 | |
Karen Emma Mignone Ferris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1921 Waldemere St, Ste 705, Sarasota, FL 34239 Phone: 941-366-5864 Fax: 941-316-9819 | |
Stephanie Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-9000 |