Carmen Mouzourakis, APRN in Palatka, FL - Medicare Nurse Practitioner

Carmen Mouzourakis, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Palatka, Florida. Her current practice location is 400 Fl-19 #48, Palatka, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 329-8800.

Carmen Mouzourakis is licensed to practice in Florida (license number APRN11020530) 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 1265167217.

Contact Information

	Carmen Mouzourakis, APRN
	400 Fl-19 #48, Palatka, FL 32177
	(386) 329-8800
	Not Available

Map and Direction

Provider's Profile

Full Name	Carmen Mouzourakis
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	400 Fl-19 #48, Palatka, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265167217
Provider Enumeration Date: 07/22/2022
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 2163952110
Enrollment ID: I20250206001734

Medical Identifiers

Medical identifiers for Carmen Mouzourakis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265167217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	APRN11020530 (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. Carmen Mouzourakis allows following entities to bill medicare on her behalf.

Entity Name	Vitality Ageless Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730657271 PECOS PAC ID: 6800135872 Enrollment ID: O20240628000026

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. Carmen Mouzourakis 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
Carmen Mouzourakis, APRN 400 Fl-19 #48, Palatka, FL 32177 Ph: () -	Carmen Mouzourakis, APRN 400 Fl-19 #48, Palatka, FL 32177 Ph: (386) 329-8800

Reviews and Comments

Nurse Practitioner Nurses in Palatka, FL

Lindsey Fletcher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711
Mrs. Kathleen Anne Russell, ARNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Saint Johns Ave, Palatka, FL 32177 Phone: 904-279-2200
Kashanti Shanti Bowden, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6910 Old Wolf Bay Rd, Palatka, FL 32177 Phone: 386-328-7337
Jennifer Paffmann, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Reid St, Palatka, FL 32177 Phone: 386-328-5437
Julia Loftus Weber, ARNP RNCS MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786
Mr. Ronald Michael Wendt, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3703 Crill Ave, Palatka, FL 32177 Phone: 386-866-9100 Fax: 386-866-1900
Ms. Canisha Shanara Gillon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Kay Larkin Dr, Palatka, FL 32177 Phone: 386-329-3780

Carmen Mouzourakis, APRN - Medicare Nurse Practitioner in Palatka, FL