Carla De Souza, APRN in Riverview, FL - Medicare Nurse Practitioner

Carla De Souza, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Riverview, Florida. Her current practice location is 13127 Vail Ridge Dr, Riverview, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 661-6199.

Carla De Souza is licensed to practice in Florida (license number 11029849) 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 1306613237.

Contact Information

	Carla De Souza, APRN
	13127 Vail Ridge Dr, Riverview, FL 33579-7196
	(813) 661-6199
	Not Available

Map and Direction

Provider's Profile

Full Name	Carla De Souza
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	13127 Vail Ridge Dr, Riverview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306613237
Provider Enumeration Date: 12/11/2023
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 1052841624
Enrollment ID: I20250212000403

Medical Identifiers

Medical identifiers for Carla De Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306613237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11029849 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	11029849 (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. Carla De Souza allows following entities to bill medicare on her behalf.

Entity Name	South Shore Cardiovascular Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912175290 PECOS PAC ID: 5092874909 Enrollment ID: O20081106000913

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. Carla De Souza 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
Carla De Souza, APRN 6910 Jamestown Manor Dr, Riverview, FL 33578-8303 Ph: (813) 598-1081	Carla De Souza, APRN 13127 Vail Ridge Dr, Riverview, FL 33579-7196 Ph: (813) 661-6199

Reviews and Comments

Nurse Practitioner Nurses in Riverview, FL

Hannah Marie Lamp, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9042 Canopy Oak Ln Apt 302, Riverview, FL 33578 Phone: 720-723-0649
Kimberly Havers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8400
Krystle Alvarez, APRN, FNP-C, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11145 Winthrop Lake Dr, Riverview, FL 33578 Phone: 786-897-4540 Fax: 305-418-8971
Claudia Pineda, ARNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10627 Rhodine Rd, Riverview, FL 33578 Phone: 813-605-3235 Fax: 813-605-6229
Jessica Anderson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13127 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-393-0278
Michaella Phanord, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11409 Misty Isle Ln, Riverview, FL 33579 Phone: 954-663-1069
Melissa Garrison Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7229 Us Highway 301 S, Riverview, FL 33578 Phone: 813-677-8418 Fax: 813-355-5906

Carla De Souza, APRN - Medicare Nurse Practitioner in Riverview, FL