Mrs Amy Penaloza, APRN in Winter Garden, FL - Medicare Nurse Practitioner

Mrs Amy Penaloza, APRN is a medicare enrolled "Nurse Practitioner" in Winter Garden, Florida. Her current practice location is 736 S Dillard St Ste 2, Winter Garden, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 614-4866.

Mrs Amy Penaloza is licensed to practice in Florida (license number 11033599) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134964463.

Contact Information

	Mrs Amy Penaloza, APRN
	736 S Dillard St Ste 2, Winter Garden, FL 34787-3975
	(407) 614-4866
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amy Penaloza
Gender	Female
Speciality	Nurse Practitioner
Location	736 S Dillard St Ste 2, Winter Garden, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134964463
Provider Enumeration Date: 06/27/2024
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 8628592920
Enrollment ID: I20250408002734

Medical Identifiers

Medical identifiers for Mrs Amy Penaloza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134964463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11033599 (Florida)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	11033599 (Florida)	Secondary
363L00000X	Nurse Practitioner	11033599 (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. Mrs Amy Penaloza allows following entities to bill medicare on her behalf.

Entity Name	Advanced Health House Calls
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679141584 PECOS PAC ID: 4183027915 Enrollment ID: O20210730000913

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. Mrs Amy Penaloza 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
Mrs Amy Penaloza, APRN 1522 Alligator St, Saint Cloud, FL 34771-7538 Ph: (352) 999-2809	Mrs Amy Penaloza, APRN 736 S Dillard St Ste 2, Winter Garden, FL 34787-3975 Ph: (407) 614-4866

Reviews and Comments

Nurse Practitioner Nurses in Winter Garden, FL

Yun Mi Sung, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787 Phone: 352-728-4242
Raconda Hibbard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 Courtlea Oaks Blvd, Winter Garden, FL 34787 Phone: 407-432-3333
Sherry Roberts, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15544 W Colonial Dr, Winter Garden, FL 34787 Phone: 352-431-3940
Joanna Hoffman, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1991 Daniels Rd, Winter Garden, FL 34787 Phone: 407-395-3770 Fax: 407-395-3779
Kalindi Premila Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15835 Shaddock Dr Ste 130, Winter Garden, FL 34787 Phone: 312-888-2986
Mauricio Berrio Orozco, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16313 New Independence Pkwy # 110, Winter Garden, FL 34787 Phone: 407-593-4665 Fax: 407-656-4591
Mrs. Lauren Ashley Schneider, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 912 Butter Oaks Ct, Winter Garden, FL 34787 Phone: 338-656-6562 Fax: 844-339-2908

Mrs Amy Penaloza, APRN - Medicare Nurse Practitioner in Winter Garden, FL