Michelle J Van De Wall, APRN in Sun City Center, FL

Michelle J Van De Wall, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Sun City Center, Florida. She went to University Of South Florida College Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optumcare Florida, Llc and her current practice location is 781 Cypress Village Blvd, Sun City Center, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 824-0780.

Michelle J Van De Wall is licensed to practice in Florida (license number APRN9165034) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376846337.

Contact Information

	Michelle J Van De Wall, APRN
	781 Cypress Village Blvd, Sun City Center, FL 33573-6801
	(727) 824-0780
	(727) 568-6011

Map and Direction

Provider's Profile

Full Name	Michelle J Van De Wall
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	781 Cypress Village Blvd, Sun City Center, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michelle J Van De Wall attended and graduated from University Of South Florida College Of Medicine in 2010

NPI Data:

NPI Number: 1376846337
Provider Enumeration Date: 12/14/2010
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4981883568
Enrollment ID: I20110128000190

Medical Identifiers

Medical identifiers for Michelle J Van De Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376846337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	APRN9165034 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optumcare Florida, Llc	3072403476	237

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. Michelle J Van De Wall allows following entities to bill medicare on her behalf.

Entity Name	Optumcare Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123

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. Michelle J Van De Wall 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
Michelle J Van De Wall, APRN 781 Cypress Village Blvd, Sun City Center, FL 33573-6801 Ph: (727) 824-0780	Michelle J Van De Wall, APRN 781 Cypress Village Blvd, Sun City Center, FL 33573-6801 Ph: (727) 824-0780

Reviews and Comments

Nurse Practitioner Nurses in Sun City Center, FL

Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441
Pamela Sevalia, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4051 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484
Guedry Edouard, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15407 Ibis Fall Pl, Sun City Center, FL 33573 Phone: 239-692-1157
Renette Charles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7209 Wash Island Dr, Sun City Center, FL 33573 Phone: 813-948-1310
Ms. Diana Theresa Burchett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 S Pebble Beach Blvd Ste 202c, Sun City Center, FL 33573 Phone: 813-954-0363 Fax: 813-644-5745

Michelle J Van De Wall, APRN - Medicare Nurse Practitioner in Sun City Center, FL