Johana Elizabeth Marti Pineda, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Lauderdale Lakes, Florida. Her current practice location is
4900 W Oakland Park Blvd Ste 207, Lauderdale Lakes, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 735-7550.
Johana Elizabeth Marti Pineda is licensed to practice in Florida (license number 11004022) 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 1023667680.
Physician's Profile
| Full Name | Johana Elizabeth Marti Pineda |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 4900 W Oakland Park Blvd Ste 207, Lauderdale Lakes, 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: 1023667680
- Provider Enumeration Date: 09/06/2019
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850715327
- Enrollment ID: I20220107001122
Medical Identifiers
Medical identifiers for Johana Elizabeth Marti Pineda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023667680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 11004022 (Florida) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 11004022 (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. Johana Elizabeth Marti Pineda allows following entities to bill medicare on her behalf.
| Entity Name | Affinity Global Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417541830
PECOS PAC ID: 7719396027
Enrollment ID: O20210517000878 |
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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. Johana Elizabeth Marti Pineda 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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Johana Elizabeth Marti Pineda, APRN
3374 Nw 5th St,
Pompano Beach, FL 33069-2283
Ph: (754) 207-7608 | Johana Elizabeth Marti Pineda, APRN
4900 W Oakland Park Blvd Ste 207,
Lauderdale Lakes, FL 33313-1501
Ph: (954) 735-7550 |
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