Ms Amy L Thatcher, ARNP | |
12900 Cortez Blvd Ste 102, Brooksville, FL 34613-6897 | |
(352) 596-7660 | |
Not Available |
Full Name | Ms Amy L Thatcher |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 12900 Cortez Blvd Ste 102, Brooksville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215055736 | NPI | - | NPPES |
MT926 | Other | FL | MEDICARE |
013381600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | ARNP3413752 (Florida) | Primary |
Entity Name | Florida Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
Mailing Address | Practice Location Address |
---|---|
Ms Amy L Thatcher, ARNP 1202 Mariner Blvd, Spring Hill, FL 34609-5603 Ph: (352) 428-7817 | Ms Amy L Thatcher, ARNP 12900 Cortez Blvd Ste 102, Brooksville, FL 34613-6897 Ph: (352) 596-7660 |
Anastasia Sophia Tzobanakis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10475 Flycatcher Rd, Brooksville, FL 34613 Phone: 352-263-1068 | |
Kristen Costa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Jacqueline Hemstreet, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12220 Cortez Blvd, Brooksville, FL 34613 Phone: 352-556-5216 | |
Mrs. Mackenzie Rose Rich, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12190 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-1206 Fax: 352-597-1208 | |
Leslie Carol Flynt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14540 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-8287 | |
Alysha Nicole Petroff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Cortez Blvd Ste 101, Brooksville, FL 34613 Phone: 352-596-1101 Fax: 352-596-7869 | |
Ms. Donna Marie Ribbons, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12017 Cortez Blvd, Brooksville, FL 34613 Phone: 352-799-6700 Fax: 352-799-6722 |