Jennifer Rae Witt, CPNP in Port St Lucie, FL - Medicare Nurse Practitioner

Jennifer Rae Witt, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Port St Lucie, Florida. Her current practice location is 150 Sw Chamber Ct Ste 101, Port St Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 301-0123.

Jennifer Rae Witt is licensed to practice in Florida (license number APRN11008019) 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 1629190731.

Contact Information

	Jennifer Rae Witt, CPNP
	150 Sw Chamber Ct Ste 101, Port St Lucie, FL 34986-3413
	(772) 301-0123
	(772) 301-0124

Map and Direction

Provider's Profile

Full Name	Jennifer Rae Witt
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	150 Sw Chamber Ct Ste 101, Port St Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629190731
Provider Enumeration Date: 04/06/2007
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3577712603
Enrollment ID: I20121005000276

Medical Identifiers

Medical identifiers for Jennifer Rae Witt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629190731	NPI	-	NPPES
7005607	Medicaid	NC
NP3325	Medicaid	SC
1629190731	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	APRN11008019 (Florida)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	0050-1620 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5001620 (North Carolina)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	203964 (North Carolina)	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. Jennifer Rae Witt allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455

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. Jennifer Rae Witt 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
Jennifer Rae Witt, CPNP 150 Sw Chamber Ct Ste 101, Port St Lucie, FL 34986-3413 Ph: () -	Jennifer Rae Witt, CPNP 150 Sw Chamber Ct Ste 101, Port St Lucie, FL 34986-3413 Ph: (772) 301-0123

Reviews and Comments

Nurse Practitioner Nurses in Port St Lucie, FL

Ms. Shelly Amanda Mosely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Se Walton Rd, Port St Lucie, FL 34952 Phone: 772-335-0400
Anne-maria Hofmann Douglas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313
Ramona Loutos, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Se Dominic Ave, Port St Lucie, FL 34952 Phone: 772-359-1398 Fax: 888-221-8008
Diana Isabel Clavijo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7549 Nw Greenspring St, Port St Lucie, FL 34987 Phone: 954-274-5691
Kellie Collins, A.R.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4516 Sw Yamada Dr, Port St Lucie, FL 34953 Phone: 772-336-2161
Marie Remy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215
Mrs. Tricia A Riddle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 Se Port St Lucie Blvd, Port St Lucie, FL 34984 Phone: 772-871-5900

Jennifer Rae Witt, CPNP - Medicare Nurse Practitioner in Port St Lucie, FL