Deshawn Deloris Mitchell, APRN - Medicare Nurse Practitioner in Lake Wales, FL

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Deshawn Deloris Mitchell, APRN is a medicare enrolled "Nurse Practitioner" in Lake Wales, Florida. Her current practice location is 410 S 11th St, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 676-1433.

Deshawn Deloris Mitchell is licensed to practice in Florida (license number 11004692) 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 1508409855.

Contact Information

Deshawn Deloris Mitchell, APRN
410 S 11th St,
Lake Wales, FL 33853-4203
(863) 676-1433
Not Available

Map and Direction




Provider's Profile

Full NameDeshawn Deloris Mitchell
GenderFemale
SpecialityNurse Practitioner
Location410 S 11th St, Lake Wales, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508409855
  • Provider Enumeration Date: 10/18/2019
  • Last Update Date: 04/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628494143
  • Enrollment ID: I20200814000969

Medical Identifiers

Medical identifiers for Deshawn Deloris Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508409855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11004692 (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. Deshawn Deloris Mitchell allows following entities to bill medicare on her behalf.
Entity NameElyaman Medical Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609251685
PECOS PAC ID: 4284923467
Enrollment ID: O20160511000549
Entity NameHouse Call M.d.'s L.l.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275955312
PECOS PAC ID: 5496033839
Enrollment ID: O20161105000102
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002247
Entity NameRenew Wound Care Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811631591
PECOS PAC ID: 1951788256
Enrollment ID: O20220505002450
Entity NameHealth Providers Of America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316560972
PECOS PAC ID: 9931529948
Enrollment ID: O20230320001263

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. Deshawn Deloris Mitchell 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
Deshawn Deloris Mitchell, APRN
1143 Towergate Cir,
Lake Wales, FL 33853-2606

Ph: () -		Deshawn Deloris Mitchell, APRN
410 S 11th St,
Lake Wales, FL 33853-4203

Ph: (863) 676-1433

Reviews and Comments


Nurse Practitioner Nurses in Lake Wales, FL

Natasha L Fenelon, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 684 State Road 60 W, Lake Wales, FL 33853
Phone: 863-949-4868    Fax: 863-223-8549
Mrs. Jodie Demay Schmidt, ARNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1109 Bryn Mawr Ave, Lake Wales, FL 33853
Phone: 863-676-3411    Fax: 863-676-1015
Summer Abukhodeir,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 858 Redwood Way, Lake Wales, FL 33898
Phone: 863-232-7604    
Felicia Thomas,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 813 Lindsey Pl, Lake Wales, FL 33853
Phone: 873-605-8509    
Heather Lopez,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Margot Ln, Lake Wales, FL 33853
Phone: 863-978-8737    
Shirley O White-campbell, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 229 State Road 60 E, Lake Wales, FL 33853
Phone: 863-282-6441    Fax: 863-208-9190
Milcah Grace S Caculitan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1120 Carlton Ave, Suite 1300, Lake Wales, FL 33853
Phone: 863-676-6386    Fax: 863-676-6452

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.