Mr Theotis Chappell Jr, in South Daytona, FL - Medicare Nurse Practitioner

Mr Theotis Chappell Jr, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in South Daytona, Florida. His current practice location is 927 Beville Rd Ste 7, South Daytona, Florida. You can reach out to his office (for appointments etc.) via phone at (786) 337-5715.

Mr Theotis Chappell Jr is licensed to practice in Florida (license number APRN11027332) 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 1235817354.

Contact Information

	Mr Theotis Chappell Jr,
	927 Beville Rd Ste 7, South Daytona, FL 32119-1769
	(786) 337-5715
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Theotis Chappell Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	927 Beville Rd Ste 7, South Daytona, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235817354
Provider Enumeration Date: 07/10/2023
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4587016837
Enrollment ID: I20240123000725

Medical Identifiers

Medical identifiers for Mr Theotis Chappell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235817354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11027332 (Florida)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN247061 (Georgia)	Secondary

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 Theotis Chappell Jr allows following entities to bill medicare on his behalf.

Entity Name	Medical & Psychiatric Insitiute Of Florida, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205278454 PECOS PAC ID: 9638396526 Enrollment ID: O20140818001158

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 Theotis Chappell Jr 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 Theotis Chappell Jr, 3242 Peachtree Rd Ne Unit 609, Atlanta, GA 30305-2468 Ph: (786) 337-5715	Mr Theotis Chappell Jr, 927 Beville Rd Ste 7, South Daytona, FL 32119-1769 Ph: (786) 337-5715

Reviews and Comments

Nurse Practitioner Nurses in South Daytona, FL

Wendy Carol Boone, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 Katherine St, South Daytona, FL 32119 Phone: 321-749-4524
Matthew Hal Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2435 Kenilworth Ave, South Daytona, FL 32119 Phone: 386-334-0061
Cassandra Jane (robertson) Mccathran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 719 Beville Rd, South Daytona, FL 32119 Phone: 386-304-3444 Fax: 386-304-3403
Yesenia Mary Malave Vazquez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2241 Brian Ave, South Daytona, FL 32119 Phone: 386-547-0554
Lindsey K Busch, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-760-8116 Fax: 888-486-1253
Myrna Del Carmen Colom, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 322 Big Tree Rd, South Daytona, FL 32119 Phone: 386-310-8745

Mr Theotis Chappell Jr, - Medicare Nurse Practitioner in South Daytona, FL