Therese Monica Grandlienard, | |
11200 Seminole Blvd, Largo, FL 33778-3259 | |
(727) 258-4817 | |
Not Available |
Full Name | Therese Monica Grandlienard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 11200 Seminole Blvd, Largo, 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 |
---|---|---|---|
1568822716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9280102 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
St Josephs Hospital | Tampa, FL | Hospital |
St Anthonys Hospital | Saint petersburg, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Coast Primary Care, Llc | 6709041585 | 5 |
Entity Name | West Coast Primary Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528327087 PECOS PAC ID: 6709041585 Enrollment ID: O20120628000371 |
Mailing Address | Practice Location Address |
---|---|
Therese Monica Grandlienard, 4030 3rd Ave N, Saint Petersburg, FL 33713-7402 Ph: () - | Therese Monica Grandlienard, 11200 Seminole Blvd, Largo, FL 33778-3259 Ph: (727) 258-4817 |
Cassandra Hoffman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Argelia Sample, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Gissy L Suarez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7050 Ulmerton Rd, Largo, FL 33771 Phone: 727-777-4540 Fax: 727-248-0432 | |
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458 | |
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Radica Singh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532 | |
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360 |