| Nicole Marie Clark, APRN | |
|
600 Nokomis Ave S Ste 102&203, Venice, FL 34285-3209 | |
| (941) 486-6979 | |
| Not Available |
| Full Name | Nicole Marie Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 600 Nokomis Ave S Ste 102&203, Venice, 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 |
|---|---|---|---|
| 1437765179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11009215 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Homecare | Sarasota, FL | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Physician Group Llc | 9830244433 | 789 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Clark, APRN Po Box 11393, Belfast, ME 04915-4004 Ph: () - | Nicole Marie Clark, APRN 600 Nokomis Ave S Ste 102&203, Venice, FL 34285-3209 Ph: (941) 486-6979 |
Felicia Carnevale, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 Fax: 941-244-9526 | |
Destinee Renee Ogea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 Phone: 941-207-5350 Fax: 941-207-5352 | |
Kristy L Petersen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 The Rialto, Venice, FL 34285 Phone: 941-486-6927 Fax: 941-486-6931 | |
Judy Humphreys, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1287 Us Highway 41byp S, Venice, FL 34237 Phone: 941-244-5706 Fax: 941-800-4342 | |
Ms. Kathryn S Collins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Jacaranda Blvd, Venice, FL 34292 Phone: 844-366-9362 | |
Agata Wawro, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 | |
Cynthia Beth Gamble, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nokomis Ave S Ste 207, Venice, FL 34285 Phone: 941-486-6790 Fax: 941-486-6795 |