Knovano Salmon, ARNP in Fort Lauderdale, FL - Medicare Nurse Practitioner

Knovano Salmon, ARNP is a medicare enrolled "Nurse Practitioner" in Fort Lauderdale, Florida. His current practice location is 1345 Ne 4th Ave, Fort Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 458-1199.

Knovano Salmon is licensed to practice in Florida (license number 11000582) 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 1174095921.

Contact Information

	Knovano Salmon, ARNP
	1345 Ne 4th Ave, Fort Lauderdale, FL 33304-1031
	(954) 458-1199
	Not Available

Map and Direction

Provider's Profile

Full Name	Knovano Salmon
Gender	Male
Speciality	Nurse Practitioner
Location	1345 Ne 4th Ave, Fort Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174095921
Provider Enumeration Date: 12/18/2018
Last Update Date: 05/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8224360276
Enrollment ID: I20191024002213

Medical Identifiers

Medical identifiers for Knovano Salmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174095921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11000582 (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. Knovano Salmon allows following entities to bill medicare on his behalf.

Entity Name	Pain Relief Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972139319 PECOS PAC ID: 9234542754 Enrollment ID: O20201230001089

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. Knovano Salmon 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
Knovano Salmon, ARNP 11970 Sw 12th St Bldg 109, Pembroke Pines, FL 33025-5723 Ph: (813) 507-3924	Knovano Salmon, ARNP 1345 Ne 4th Ave, Fort Lauderdale, FL 33304-1031 Ph: (954) 458-1199

Reviews and Comments

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Knovano Salmon, ARNP - Medicare Nurse Practitioner in Fort Lauderdale, FL