Ms Monique Manderson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Lakeland, FL

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Ms Monique Manderson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lakeland, Florida. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Palouse River Counseling Center and her current practice location is 122 E Main St Ste 124, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (708) 205-3517.

Ms Monique Manderson is licensed to practice in Florida (license number 11014186) 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 1619360070.

Contact Information

Ms Monique Manderson, FNP-C, PMHNP-BC
122 E Main St Ste 124,
Lakeland, FL 33801-4655
(708) 205-3517
Not Available

Map and Direction




Provider's Profile

Full NameMs Monique Manderson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location122 E Main St Ste 124, Lakeland, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Monique Manderson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1619360070
  • Provider Enumeration Date: 03/10/2015
  • Last Update Date: 02/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5890015994
  • Enrollment ID: I20231002002756

Medical Identifiers

Medical identifiers for Ms Monique Manderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619360070NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP11235 (Arizona)Secondary
363LF0000XNurse Practitioner - Family 209012605 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209012605 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61438293 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11014186 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palouse River Counseling Center569876833114

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. Ms Monique Manderson allows following entities to bill medicare on her behalf.
Entity NameComprehensive Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073527453
PECOS PAC ID: 7618875022
Enrollment ID: O20031223000155
Entity NamePalouse River Counseling Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063486272
PECOS PAC ID: 5698768331
Enrollment ID: O20040407000660

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. Ms Monique Manderson 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
Ms Monique Manderson, FNP-C, PMHNP-BC
122 E Main St Ste 124,
Lakeland, FL 33801-4655

Ph: (708) 205-3517		Ms Monique Manderson, FNP-C, PMHNP-BC
122 E Main St Ste 124,
Lakeland, FL 33801-4655

Ph: (708) 205-3517

Reviews and Comments


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Andrea Beale, A.R.N.P.
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Reanna Maxwell, ARNP
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Anjali Nair, APRN
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Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7190    Fax: 866-264-8519

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.