Diana Isabel Clavijo, in Port St Lucie, FL - Medicare Nurse Practitioner

Diana Isabel Clavijo, is a medicare enrolled "Nurse Practitioner - Primary Care" in Port St Lucie, Florida. Her current practice location is 7549 Nw Greenspring St, Port St Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 274-5691.

Diana Isabel Clavijo is licensed to practice in Florida (license number 11030622) 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 1003671629.

Contact Information

	Diana Isabel Clavijo,
	7549 Nw Greenspring St, Port St Lucie, FL 34987-3050
	(954) 274-5691
	Not Available

Map and Direction

Provider's Profile

Full Name	Diana Isabel Clavijo
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	7549 Nw Greenspring St, Port St Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003671629
Provider Enumeration Date: 02/14/2024
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1456796432
Enrollment ID: I20240229001557

Medical Identifiers

Medical identifiers for Diana Isabel Clavijo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003671629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	11030622 (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. Diana Isabel Clavijo allows following entities to bill medicare on her behalf.

Entity Name	5 Star Mobile Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659037562 PECOS PAC ID: 0244621910 Enrollment ID: O20220107000501

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. Diana Isabel Clavijo 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
Diana Isabel Clavijo, 7549 Nw Greenspring St, Port St Lucie, FL 34987-3050 Ph: (954) 274-5691	Diana Isabel Clavijo, 7549 Nw Greenspring St, Port St Lucie, FL 34987-3050 Ph: (954) 274-5691

Reviews and Comments

Nurse Practitioner Nurses in Port St Lucie, FL

Ms. Shelly Amanda Mosely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Se Walton Rd, Port St Lucie, FL 34952 Phone: 772-335-0400
Anne-maria Hofmann Douglas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313
Ramona Loutos, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Se Dominic Ave, Port St Lucie, FL 34952 Phone: 772-359-1398 Fax: 888-221-8008
Kellie Collins, A.R.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4516 Sw Yamada Dr, Port St Lucie, FL 34953 Phone: 772-336-2161
Marie Remy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215
Mrs. Tricia A Riddle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 Se Port St Lucie Blvd, Port St Lucie, FL 34984 Phone: 772-871-5900

Diana Isabel Clavijo, - Medicare Nurse Practitioner in Port St Lucie, FL