Angella M John, ARNP is a medicare enrolled "General Practice" physician in Deerfield Beach, Florida. Her current practice location is
10 Fairway Dr Ste 305, Deerfield Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 744-0020.
Angella M John is licensed to practice in Florida (license number APRN9212723) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962886705.
Physician's Profile
| Full Name | Angella M John |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 10 Fairway Dr Ste 305, Deerfield Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962886705
- Provider Enumeration Date: 07/10/2015
- Last Update Date: 03/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082917042
- Enrollment ID: I20160125002547
Medical Identifiers
Medical identifiers for Angella M John such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962886705 | NPI | - | NPPES |
| APRN9212723 | Other | FL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | APRN9212723 (Florida) | Secondary |
| 208D00000X | General Practice | APRN9212723 (Florida) | Primary |
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. Angella M John allows following entities to bill medicare on her behalf.
| Entity Name | Mother Daughter Primary Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447715305
PECOS PAC ID: 4183959448
Enrollment ID: O20190710000869 |
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| Entity Name | Premier Healthcare Centers, Lp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669931762
PECOS PAC ID: 5294064176
Enrollment ID: O20190903002516 |
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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. Angella M John 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 |
|---|
Angella M John, ARNP
10 Fairway Dr Ste 305,
Deerfield Beach, FL 33441-1802
Ph: (954) 744-0020 | Angella M John, ARNP
10 Fairway Dr Ste 305,
Deerfield Beach, FL 33441-1802
Ph: (954) 744-0020 |
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