Nicole Velez Perrone, is a medicare enrolled "Physician Assistant" in Citra, Florida. Her current practice location is
17805 N Us Highway 301, Citra, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 578-1923.
Nicole Velez Perrone is licensed to practice in Florida (license number PA9117534) 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 1205569662.
Provider's Profile
| Full Name | Nicole Velez Perrone |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 17805 N Us Highway 301, Citra, 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: 1205569662
- Provider Enumeration Date: 07/05/2022
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022479948
- Enrollment ID: I20230725002472
Medical Identifiers
Medical identifiers for Nicole Velez Perrone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205569662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA9117534 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | 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. Nicole Velez Perrone allows following entities to bill medicare on her behalf.
| Entity Name | Citra Family Health LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952145690
PECOS PAC ID: 8123563723
Enrollment ID: O20240708002513 |
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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. Nicole Velez Perrone 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 |
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Nicole Velez Perrone,
17805 N Us Highway 301,
Citra, FL 32113-2459
Ph: (352) 578-1923 | Nicole Velez Perrone,
17805 N Us Highway 301,
Citra, FL 32113-2459
Ph: (352) 578-1923 |
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