Michelle Patricia Mundy, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Orlando, Florida. Her current practice location is
1222 S Orange Ave Fl 5, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 841-3040.
Michelle Patricia Mundy is licensed to practice in Florida (license number APRN11028322) 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 1023895315.
Physician's Profile
| Full Name | Michelle Patricia Mundy |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 1222 S Orange Ave Fl 5, Orlando, 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: 1023895315
- Provider Enumeration Date: 09/11/2023
- Last Update Date: 09/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072950880
- Enrollment ID: I20240327004216
Medical Identifiers
Medical identifiers for Michelle Patricia Mundy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023895315 | NPI | - | NPPES |
| 127527200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 11028322 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN11028322 (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. Michelle Patricia Mundy allows following entities to bill medicare on her behalf.
| Entity Name | Emergency Physicians Of Central Florida Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326033341
PECOS PAC ID: 1850296567
Enrollment ID: O20031205000109 |
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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. Michelle Patricia Mundy 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 |
|---|
Michelle Patricia Mundy, APRN
1222 S Orange Ave Fl 5,
Orlando, FL 32806-1215
Ph: (321) 841-3040 | Michelle Patricia Mundy, APRN
1222 S Orange Ave Fl 5,
Orlando, FL 32806-1215
Ph: (321) 841-3040 |
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