Knequisha Latonya O'connor, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Fort Lauderdale, Florida. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
330 Sw 27th Ave, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 497-3856.
Knequisha Latonya O'connor is licensed to practice in Florida (license number APRN11017972) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1922753045.
Healthcare Provider's Profile
| Full Name | Knequisha Latonya O'connor |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 330 Sw 27th Ave, Fort Lauderdale, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Knequisha Latonya O'connor graduated from medical school in 2021
NPI Data:
- NPI Number: 1922753045
- Provider Enumeration Date: 02/17/2022
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103203625
- Enrollment ID: I20220521000170
Medical Identifiers
Medical identifiers for Knequisha Latonya O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922753045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | APRN11017972 (Florida) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 11017972 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11017972 (Florida) | Primary |
Medical Facilities Affiliation
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. Knequisha Latonya O'connor allows following entities to bill medicare on her behalf.
| Entity Name | Compass Health Systems Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619965795
PECOS PAC ID: 6204733413
Enrollment ID: O20040202000219 |
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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. Knequisha Latonya O'connor 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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Knequisha Latonya O'connor, APRN, PMHNP-BC
4740 N State Road 7 Ste 201,
Lauderdale Lakes, FL 33319-5839
Ph: () - | Knequisha Latonya O'connor, APRN, PMHNP-BC
330 Sw 27th Ave,
Fort Lauderdale, FL 33312-2051
Ph: (954) 497-3856 |
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