Selena Crandall, ARNP | |
3860 Sun City Center Blvd, Ruskin, FL 33573-6806 | |
(813) 633-1980 | |
(813) 355-5104 |
Full Name | Selena Crandall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 3860 Sun City Center Blvd, Ruskin, 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 |
---|---|---|---|
1043635675 | NPI | - | NPPES |
014924000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9238210 (Florida) | Primary |
363L00000X | Nurse Practitioner | APRN9238210 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
South Bay Hospital | Sun city center, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohi West Medical Group Ii Llc | 0648631192 | 310 |
Entity Name | Blue Ocean Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992045272 PECOS PAC ID: 3779729603 Enrollment ID: O20130423000030 |
Entity Name | Ohi West Medical Group Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130 |
Mailing Address | Practice Location Address |
---|---|
Selena Crandall, ARNP 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 528-4975 | Selena Crandall, ARNP 3860 Sun City Center Blvd, Ruskin, FL 33573-6806 Ph: (813) 633-1980 |
Nicole O'connor, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10113 Count Fleet Dr, Ruskin, FL 33573 Phone: 813-362-9588 | |
Michelle Gordon Troyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 Cypress Village Blvd, Ruskin, FL 33573 Phone: 813-633-6121 Fax: 866-264-8519 | |
Amorcita Madridondo Dougherty, A.R. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 E College Ave, Ruskin, FL 33570 Phone: 813-331-3940 Fax: 813-331-3941 | |
Maricar C Cal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2814 14th Ave Se, Ruskin, FL 33570 Phone: 813-361-1658 | |
Devin Cedric Warfield, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1740 Bonita Bluff Ct, Ruskin, FL 33570 Phone: 904-861-5711 | |
Jessica Spencer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9643 Lemon Drop Loop, Ruskin, FL 33573 Phone: 347-613-8658 |