Chiraly Dutrevil, FNP in Lakewood Ranch, FL - Medicare Nurse Practitioner

Chiraly Dutrevil, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lakewood Ranch, Florida. Her current practice location is 17206 Polo Trl, Lakewood Ranch, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 219-1700.

Chiraly Dutrevil is licensed to practice in Florida (license number F08240380) 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 1992537955.

Contact Information

	Chiraly Dutrevil, FNP
	17206 Polo Trl, Lakewood Ranch, FL 34211-1720
	(407) 219-1700
	Not Available

Map and Direction

Provider's Profile

Full Name	Chiraly Dutrevil
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17206 Polo Trl, Lakewood Ranch, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992537955
Provider Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1951821917
Enrollment ID: I20250220001266

Medical Identifiers

Medical identifiers for Chiraly Dutrevil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992537955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F08240380 (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. Chiraly Dutrevil allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20191008003842

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. Chiraly Dutrevil 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
Chiraly Dutrevil, FNP 17206 Polo Trl, Lakewood Ranch, FL 34211-1720 Ph: (407) 219-1700	Chiraly Dutrevil, FNP 17206 Polo Trl, Lakewood Ranch, FL 34211-1720 Ph: (407) 219-1700

Reviews and Comments

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Dr. Lynn A. Ventola, PHD, MSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6151 Lake Osprey Dr, Lakewood Ranch, FL 34240 Phone: 941-907-3900
Mrs. Delani Lima, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10910 Technology Ter, Lakewood Ranch, FL 34211 Phone: 941-727-7772 Fax: 941-216-4836
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Chiraly Dutrevil, FNP - Medicare Nurse Practitioner in Lakewood Ranch, FL