Dennis Darnell Wideman Ii, - in Port St Lucie, FL

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Dennis Darnell Wideman Ii, is a Behavior Technician based in Port St Lucie, Florida. Dennis Darnell Wideman Ii is licensed to practice in * (Not Available) (license number ) and his current practice location is 1801 Se Hillmoor Dr Ste B101-103, Port St Lucie, Florida. He can be reached at his office (for appointments etc.) via phone at (772) 463-0444.

NPI number for Dennis Darnell Wideman Ii is 1255153094 and his current mailing address is 2547 Floridiane Dr, Melbourne, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255153094.

Contact Information

Dennis Darnell Wideman Ii,
1801 Se Hillmoor Dr Ste B101-103,
Port St Lucie, FL 34952-7553
(772) 463-0444
Not Available

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Healthcare Provider's Profile

Full NameDennis Darnell Wideman Ii
GenderMale
SpecialityBehavior Technician
Location1801 Se Hillmoor Dr Ste B101-103, Port St Lucie, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255153094
  • Provider Enumeration Date: 10/31/2024
  • Last Update Date: 01/02/2026

Medical Identifiers

Medical identifiers for Dennis Darnell Wideman Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255153094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106S00000XBehavior Technician (* (Not Available))Primary

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. Dennis Darnell Wideman Ii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dennis Darnell Wideman Ii,
2547 Floridiane Dr,
Melbourne, FL 32935-2816

Ph: (321) 271-8115		Dennis Darnell Wideman Ii,
1801 Se Hillmoor Dr Ste B101-103,
Port St Lucie, FL 34952-7553

Ph: (772) 463-0444

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.