Marcio Licurgo De Azevedo, APRN - Medicare Nurse Practitioner in Ocoee, FL

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Marcio Licurgo De Azevedo, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ocoee, Florida. His current practice location is 2910 Maguire Rd Ste 2002, Ocoee, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 690-6906.

Marcio Licurgo De Azevedo is licensed to practice in Florida (license number 11029589) 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 1861266074.

Contact Information

Marcio Licurgo De Azevedo, APRN
2910 Maguire Rd Ste 2002,
Ocoee, FL 34761-4742
(239) 690-6906
Not Available

Map and Direction




Provider's Profile

Full NameMarcio Licurgo De Azevedo
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2910 Maguire Rd Ste 2002, Ocoee, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861266074
  • Provider Enumeration Date: 11/08/2023
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153771993
  • Enrollment ID: I20231220001796

Medical Identifiers

Medical identifiers for Marcio Licurgo De Azevedo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861266074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11029589 (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. Marcio Licurgo De Azevedo allows following entities to bill medicare on his behalf.
Entity NameMindful Behavioral Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477744548
PECOS PAC ID: 7810162740
Enrollment ID: O20111205000619
Entity NameDna Comprehensive Therapy Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316363757
PECOS PAC ID: 2860619632
Enrollment ID: O20140819001276

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. Marcio Licurgo De Azevedo 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
Marcio Licurgo De Azevedo, APRN
15024 Chapter Way,
Winter Garden, FL 34787-1764

Ph: (901) 317-9198		Marcio Licurgo De Azevedo, APRN
2910 Maguire Rd Ste 2002,
Ocoee, FL 34761-4742

Ph: (239) 690-6906

Reviews and Comments


Nurse Practitioner Nurses in Ocoee, FL

Nissa Cruz-vickers, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761
Phone: 407-296-1000    
Melissa Sarah Guerrero, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2910 Maguire Rd Ste 2002, Ocoee, FL 34761
Phone: 239-690-6906    
Brooke Wacker, APRN
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Practice Location: 1572 Citrus Medical Ct, Ocoee, FL 34761
Phone: 855-501-1004    Fax: 866-456-9587
Alexandra Alwin Updike, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 10959 W Colonial Dr Ste 4, Ocoee, FL 34761
Phone: 407-217-9296    
Amy Dalrymple,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2723 Maguire Rd, Ocoee, FL 34761
Phone: 407-877-7003    
Abigail Key,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761
Phone: 407-296-1000    
Michael Cutter,
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Medicare: Not Enrolled in Medicare
Practice Location: 440 Buckhaven Loop, Ocoee, FL 34761
Phone: 407-670-5764    

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.