Renee Samuels Laurent, APRN, PMHNP-BC in Jacksonville, FL

Renee Samuels Laurent, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. Her current practice location is 2055 Reyko Rd Ste 100, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 690-6906.

Renee Samuels Laurent is licensed to practice in Florida (license number APRN11024745) 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 1538560925.

Contact Information

	Renee Samuels Laurent, APRN, PMHNP-BC
	2055 Reyko Rd Ste 100, Jacksonville, FL 32207-2828
	(239) 690-6906
	Not Available

Map and Direction

Provider's Profile

Full Name	Renee Samuels Laurent
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2055 Reyko Rd Ste 100, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538560925
Provider Enumeration Date: 09/04/2014
Last Update Date: 12/02/2025

Medicare PECOS Information:

PECOS PAC ID: 8022469733
Enrollment ID: I20240108000192

Medical Identifiers

Medical identifiers for Renee Samuels Laurent such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538560925	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	6892141 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11024745 (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. Renee Samuels Laurent allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Renee Samuels Laurent 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
Renee Samuels Laurent, APRN, PMHNP-BC 2055 Reyko Rd Ste 100, Jacksonville, FL 32207-2828 Ph: (239) 690-6906	Renee Samuels Laurent, APRN, PMHNP-BC 2055 Reyko Rd Ste 100, Jacksonville, FL 32207-2828 Ph: (239) 690-6906

Reviews and Comments

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Renee Samuels Laurent, APRN, PMHNP-BC - Medicare Nurse Practitioner in Jacksonville, FL