Dr Coretta Nichelle Murphy, MD in Port Orange, FL

Dr Coretta Nichelle Murphy, MD is a medicare enrolled "Internal Medicine" physician in Port Orange, Florida. Her current practice location is 3691 Clyde Morris Blvd, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 675-4411.

Dr Coretta Nichelle Murphy is licensed to practice in Connecticut (license number 039930) 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 1548373145.

Contact Information

	Dr Coretta Nichelle Murphy, MD
	3691 Clyde Morris Blvd, Port Orange, FL 32129-2317
	(386) 675-4411
	(866) 542-5859

Map and Direction

Physician's Profile

Full Name	Dr Coretta Nichelle Murphy
Gender	Female
Speciality	Internal Medicine
Location	3691 Clyde Morris Blvd, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548373145
Provider Enumeration Date: 08/16/2006
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 6204091481
Enrollment ID: I20230609000005

Medical Identifiers

Medical identifiers for Dr Coretta Nichelle Murphy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548373145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	039930 (Connecticut)	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. Dr Coretta Nichelle Murphy allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Dr Coretta Nichelle Murphy 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
Dr Coretta Nichelle Murphy, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000	Dr Coretta Nichelle Murphy, MD 3691 Clyde Morris Blvd, Port Orange, FL 32129-2317 Ph: (386) 675-4411

Reviews and Comments

Internal Medicine Doctors in Port Orange, FL

Vrushak Deshpande, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Andrea Soledad Pagan, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Dr. Gregory J. Stella, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-788-4255
Hardik Shah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242
Souheil Moussly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Turtle Creek Dr, Port Orange, FL 32129 Phone: 386-756-4400 Fax: 386-756-3031
Robert Morris Harpold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3953 S Nova Rd Ste B, Port Orange, FL 32127 Phone: 386-788-4911 Fax: 844-388-6186
Dr. Ashraf S Elsakr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Dunlawton Ave, Ste A, Port Orange, FL 32127 Phone: 386-304-9672 Fax: 386-304-9673

Dr Coretta Nichelle Murphy, MD - Medicare Internal Medicine in Port Orange, FL