Alysha N Petroff, APRN in Davenport, FL - Medicare Nurse Practitioner

Alysha N Petroff, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Davenport, Florida. Her current practice location is 40215 Highway 27, Davenport, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 421-9705.

Alysha N Petroff is licensed to practice in Florida (license number APRN11026987) 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 1073397204.

Contact Information

	Alysha N Petroff, APRN
	40215 Highway 27, Davenport, FL 33837-7813
	(863) 421-9705
	(863) 421-9779

Map and Direction

Provider's Profile

Full Name	Alysha N Petroff
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	40215 Highway 27, Davenport, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073397204
Provider Enumeration Date: 08/21/2023
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 1456714674
Enrollment ID: I20230905003271

Medical Identifiers

Medical identifiers for Alysha N Petroff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073397204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	APRN11026987 (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. Alysha N Petroff allows following entities to bill medicare on her behalf.

Entity Name	Florida Cancer Specialists & Research Institute, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091

Entity Name	Access Health Care Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245529742 PECOS PAC ID: 4385821156 Enrollment ID: O20110602000715

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. Alysha N Petroff 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
Alysha N Petroff, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200	Alysha N Petroff, APRN 40215 Highway 27, Davenport, FL 33837-7813 Ph: (863) 421-9705

Reviews and Comments

Nurse Practitioner Nurses in Davenport, FL

Briana Brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021
Obinna Nwulu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762
Mariana Beatriz Gonzalez, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5496 Meadow Walk Dr, Davenport, FL 33837 Phone: 407-528-6682
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688

Alysha N Petroff, APRN - Medicare Nurse Practitioner in Davenport, FL