Mr Davidson Antenor, NP - Medicare Nurse Practitioner in Orlando, FL

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Mr Davidson Antenor, NP is a medicare enrolled "Nurse Practitioner - Family" in Orlando, Florida. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kopa Llc and his current practice location is 453 N Kirkman Rd, Ste 203, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 914-2325.

Mr Davidson Antenor is licensed to practice in Florida (license number APRN11040085) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720527815.

Contact Information

Mr Davidson Antenor, NP
453 N Kirkman Rd, Ste 203,
Orlando, FL 32811-1109
(407) 914-2325
Not Available

Map and Direction




Provider's Profile

Full NameMr Davidson Antenor
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location453 N Kirkman Rd, Orlando, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Davidson Antenor graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1720527815
  • Provider Enumeration Date: 02/22/2017
  • Last Update Date: 08/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5890284269
  • Enrollment ID: I20251028000312

Medical Identifiers

Medical identifiers for Mr Davidson Antenor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720527815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11040085 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kopa Llc519377446140

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. Mr Davidson Antenor allows following entities to bill medicare on his behalf.
Entity NameLongwood Medical Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235323023
PECOS PAC ID: 0941198519
Enrollment ID: O20040305000618
Entity NameKopa LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417021114
PECOS PAC ID: 5193774461
Enrollment ID: O20050113001021
Entity NameUrgent Care Center of Longwood LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093905986
PECOS PAC ID: 0345595286
Enrollment ID: O20180619000028
Entity NameMP Primary Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609512656
PECOS PAC ID: 7618357880
Enrollment ID: O20220706000358
Entity NameInternal Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164161840
PECOS PAC ID: 5698131886
Enrollment ID: O20230512001735

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. Mr Davidson Antenor 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
Mr Davidson Antenor, NP
1063 S Hiawassee Rd Apt 1614,
Orlando, FL 32835-1827

Ph: (321) 444-5538		Mr Davidson Antenor, NP
453 N Kirkman Rd, Ste 203,
Orlando, FL 32811-1109

Ph: (407) 914-2325

Reviews and Comments


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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.