Marilyn Gray Connolly, APRN in Maitland, FL - Medicare Nurse Practitioner

Marilyn Gray Connolly, APRN is a medicare enrolled "Nurse Practitioner" in Maitland, Florida. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Medical Service Association Inc and her current practice location is 151 Southhall Ln Ste 300, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 917-7293.

Marilyn Gray Connolly is licensed to practice in Florida (license number 11011911) 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 1417551268.

Contact Information

	Marilyn Gray Connolly, APRN
	151 Southhall Ln Ste 300, Maitland, FL 32751-7172
	(407) 917-7293
	Not Available

Map and Direction

Provider's Profile

Full Name	Marilyn Gray Connolly
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	151 Southhall Ln Ste 300, Maitland, 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:

Marilyn Gray Connolly graduated from nursing school in 2019

NPI Data:

NPI Number: 1417551268
Provider Enumeration Date: 11/23/2020
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 6103210174
Enrollment ID: I20220308002904

Medical Identifiers

Medical identifiers for Marilyn Gray Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417551268	NPI	-	NPPES
120071900	Medicaid	FL
UDET1	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0000026941 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	C-APN.0001934-C-NP (Colorado)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APRN11011911 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	C-APN.0001934-C-NP (Colorado)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	0000026941 (Tennessee)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	0000026941 (Tennessee)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	11011911 (Florida)	Secondary
363L00000X	Nurse Practitioner	11011911 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Medical Service Association Inc	6800790221	676

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. Marilyn Gray Connolly allows following entities to bill medicare on her behalf.

Entity Name	University Medical Service Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130

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. Marilyn Gray Connolly 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
Marilyn Gray Connolly, APRN Po Box 917770, Orlando, FL 32891-0001 Ph: () -	Marilyn Gray Connolly, APRN 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: (407) 917-7293

Reviews and Comments

Nurse Practitioner Nurses in Maitland, FL

Kelley Veronica Cross, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 N Maitland Ave, Maitland, FL 32751 Phone: 407-647-5996 Fax: 407-644-5967
Kenia Llaudy Fernandez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Maitland Center Pkwy Ste 310, Maitland, FL 32751 Phone: 407-426-4800 Fax: 407-426-4820
Stephanie Pancratz, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Winderley Pl, Maitland, FL 32751 Phone: 407-875-0555
Jessica Burkett, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Lake Lucien Dr Ste 112, Maitland, FL 32751 Phone: 321-207-9029 Fax: 844-410-7960
Bridgette Wilson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Lookout Pl Ste 202, Maitland, FL 32751 Phone: 407-647-1781
Mrs. Gina O'connor, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Concourse Pkwy S, Maitland, FL 32751 Phone: 407-253-1000
Teresa Nesbit, ARNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 531 N Maitland Ave, Maitland, FL 32751 Phone: 321-397-1212 Fax: 321-397-1213

Marilyn Gray Connolly, APRN - Medicare Nurse Practitioner in Maitland, FL