Nkelly Speranzo-otero, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Orange City, Florida. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adly Thebaud,md,pa and her current practice location is
2725 Rebecca Ln Ste 107, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 775-0736.
Nkelly Speranzo-otero is licensed to practice in Florida (license number ARNP9231203) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679797856.
Provider's Profile
| Full Name | Nkelly Speranzo-otero |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 28 Years |
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| Location | 2725 Rebecca Ln Ste 107, Orange City, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nkelly Speranzo-otero graduated from nursing school in 1996
NPI Data:
- NPI Number: 1679797856
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052331881
- Enrollment ID: I20051123000054
Medical Identifiers
Medical identifiers for Nkelly Speranzo-otero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679797856 | NPI | - | NPPES |
| 1679797856 | Other | FL | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | ARNP9231203 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adly Thebaud,md,pa | 0143270579 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nkelly Speranzo-otero allows following entities to bill medicare on her behalf.
| Entity Name | Adly Thebaud,md,pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417018482
PECOS PAC ID: 0143270579
Enrollment ID: O20050124001039 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nkelly Speranzo-otero is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nkelly Speranzo-otero, APRN
2725 Rebecca Ln Ste 107,
Orange City, FL 32763-8350
Ph: (386) 775-0736 | Nkelly Speranzo-otero, APRN
2725 Rebecca Ln Ste 107,
Orange City, FL 32763-8350
Ph: (386) 775-0736 |
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