Mrs Jennifer Deronville Stanley, in Boca Raton, FL

Mrs Jennifer Deronville Stanley, is a medicare enrolled "Nurse Practitioner - Adult Health" in Boca Raton, Florida. Her current practice location is 777 Glades Rd, Boca Raton, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 297-3000.

Mrs Jennifer Deronville Stanley is licensed to practice in Florida (license number 11027659) 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 1902679889.

Contact Information

	Mrs Jennifer Deronville Stanley,
	777 Glades Rd, Boca Raton, FL 33431-6424
	(561) 297-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Deronville Stanley
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	777 Glades Rd, Boca Raton, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902679889
Provider Enumeration Date: 11/02/2023
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2264977156
Enrollment ID: I20240716001606

Medical Identifiers

Medical identifiers for Mrs Jennifer Deronville Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902679889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9460025 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	11027659 (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 Jennifer Deronville Stanley allows following entities to bill medicare on her behalf.

Entity Name	Swallowing Diagnostics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710954672 PECOS PAC ID: 0244261683 Enrollment ID: O20050825000807

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 Jennifer Deronville Stanley 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 Jennifer Deronville Stanley, 2920 Nw 25th St, Fort Lauderdale, FL 33311-2836 Ph: () -	Mrs Jennifer Deronville Stanley, 777 Glades Rd, Boca Raton, FL 33431-6424 Ph: (561) 297-3000

Reviews and Comments

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Mrs Jennifer Deronville Stanley, - Medicare Nurse Practitioner in Boca Raton, FL