Desaray D Perkins, is a medicare enrolled "Nurse Practitioner - Family" physician in Jacksonville, Florida. Her current practice location is
13715 Richmond Park Dr N, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 334-2098.
Desaray D Perkins is licensed to practice in Florida (license number 11033923) 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 1649008277.
Physician's Profile
Full Name | Desaray D Perkins |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 13715 Richmond Park Dr N, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649008277
- Provider Enumeration Date: 07/24/2024
- Last Update Date: 04/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557892379
- Enrollment ID: I20241004000052
Medical Identifiers
Medical identifiers for Desaray D Perkins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649008277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | APRN11033923 (Florida) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 11033923 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11033923 (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. Desaray D Perkins allows following entities to bill medicare on her behalf.
Entity Name | First Coast Surgical Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548249543 PECOS PAC ID: 5395779359 Enrollment ID: O20070109000450 |
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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. Desaray D Perkins 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 |
Desaray D Perkins, 1124 Southern Hills Dr, Orange Park, FL 32065-2657 Ph: (904) 334-2098 | Desaray D Perkins, 13715 Richmond Park Dr N, Jacksonville, FL 32224-2900 Ph: (904) 334-2098 |
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