Mr Michael Roy De Jesus, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Patrick Air Force Base, Florida. His current practice location is
1381 S Patrick Dr, Patrick Air Force Base, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 494-0933.
Mr Michael Roy De Jesus is licensed to practice in Nevada (license number APRN002635) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134647035.
Provider's Profile
| Full Name | Mr Michael Roy De Jesus |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1381 S Patrick Dr, Patrick Air Force Base, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1134647035
- Provider Enumeration Date: 08/31/2017
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325304884
- Enrollment ID: I20171116000593
Medical Identifiers
Medical identifiers for Mr Michael Roy De Jesus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134647035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP134221 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN002635 (Nevada) | 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. Mr Michael Roy De Jesus allows following entities to bill medicare on his behalf.
| Entity Name | Texas Tech University Health Sciences Center El Paso |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1598705055
PECOS PAC ID: 7517864754
Enrollment ID: O20031216000806 |
|---|
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 Michael Roy De Jesus 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 |
|---|
Mr Michael Roy De Jesus, DNP, APRN, FNP-C
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: (702) 653-3800 | Mr Michael Roy De Jesus, DNP, APRN, FNP-C
1381 S Patrick Dr,
Patrick Air Force Base, FL 32925-3606
Ph: (321) 494-0933 |
Reviews and Comments