Mr James Evan Carpenter, FNP-BC is a medicare enrolled "Family Medicine" in Orlando, Florida. His current practice location is
1111 Lucerne Ter, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 250-9444.
Mr James Evan Carpenter is licensed to practice in Florida (license number 9359202) 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 1396256616.
Provider's Profile
| Full Name | Mr James Evan Carpenter |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1111 Lucerne Ter, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396256616
- Provider Enumeration Date: 10/12/2017
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375803455
- Enrollment ID: I20190329000039
Medical Identifiers
Medical identifiers for Mr James Evan Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396256616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0024175496 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 9359202 (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. Mr James Evan Carpenter allows following entities to bill medicare on his behalf.
| Entity Name | Adventist Health System/sunbelt, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073565610
PECOS PAC ID: 6406849256
Enrollment ID: O20040406001849 |
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| Entity Name | Fl-i Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750655106
PECOS PAC ID: 9133381809
Enrollment ID: O20120426000191 |
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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. Mr James Evan Carpenter 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 |
|---|
Mr James Evan Carpenter, FNP-BC
1111 Lucerne Ter,
Orlando, FL 32806-1016
Ph: (407) 250-9444 | Mr James Evan Carpenter, FNP-BC
1111 Lucerne Ter,
Orlando, FL 32806-1016
Ph: (407) 250-9444 |
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