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

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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 NameAlysha N Petroff
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location40215 Highway 27, Davenport, Florida
Accepts Medicare AssignmentsMedicare 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: 07/16/2026
  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.
IdentifierTypeStateIssuer
1073397204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse 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 NameFlorida Cancer Specialists & Research Institute, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760590962
PECOS PAC ID: 2567356058
Enrollment ID: O20040216000091

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 AddressPractice 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


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Ophelia Dacosta-green, APRN
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Practice Location: 2217 North Blvd W, Davenport, FL 33837
Phone: 863-421-3456    Fax: 863-421-3466
Eileen J Ruiz, ARNP
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Phone: 863-419-0688    
Mrs. Chrisja Marie Ramos, FNP
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Phone: 407-757-9966    
Genesis Marie Rodriguez Contreras, APRN, FNP
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Practice Location: 39873 Highway 27 Ste 101, Davenport, FL 33837
Phone: 787-966-3321    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.