| Raul Medina Rojo, MSN, APRN, PMHNP-BC | |
|
1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3008 | |
| (813) 909-7102 | |
| Not Available |
| Full Name | Raul Medina Rojo |
|---|---|
| Gender | Male |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 1 Years |
| Location | 1539 Dale Mabry Hwy Ste 102, Lutz, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548986987 | NPI | - | NPPES |
| APRN11022432 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11022432 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11022432 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Managed Mental Health Llc | 6800272394 | 2 |
| Entity Name | Myrtle Ridge Primary Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619504354 PECOS PAC ID: 7618396144 Enrollment ID: O20201001001641 |
| Entity Name | Truvida Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265104590 PECOS PAC ID: 9234522012 Enrollment ID: O20220201000390 |
| Entity Name | Managed Mental Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033716055 PECOS PAC ID: 6800272394 Enrollment ID: O20230209002372 |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Medina Rojo, MSN, APRN, PMHNP-BC 9032 Sw 142nd Ave Apt 530, Miami, FL 33186-8024 Ph: () - | Raul Medina Rojo, MSN, APRN, PMHNP-BC 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3008 Ph: (813) 909-7102 |
Cheryl Millheim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2322 Land O Lakes Blvd, Lutz, FL 33549 Phone: 813-778-3149 | |
Angela Marie Bumpus, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15953 N Florida Ave, Lutz, FL 33549 Phone: 813-513-0808 | |
Rinat Rene Tamames, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19112 Sunlake Blvd, Lutz, FL 33558 Phone: 786-227-7641 | |
Ramon Aviso, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2814 Ridge Hollow Ln, Lutz, FL 33559 Phone: 813-638-7735 | |
Mrs. Jeanne Brannan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4115 Sparrow Ct, Lutz, FL 33558 Phone: 813-963-2086 | |
Mrs. Heather Merlo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18125 N Us Highway 41 Ste 201, Lutz, FL 33549 Phone: 813-388-9468 | |
Mrs. Judith Loney Trotman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18524 Avocet Dr, Lutz, FL 33558 Phone: 813-961-3589 |