Theodora Desronvil, FNP-BC - Medicare Nurse Practitioner in Rocky Mount, NC

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Theodora Desronvil, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Rocky Mount, North Carolina. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Drx High Point Pllc and her current practice location is 300 N Grace St, Rocky Mount, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 210-9856.

Theodora Desronvil is licensed to practice in North Carolina (license number 5010560) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902394067.

Contact Information

Theodora Desronvil, FNP-BC
300 N Grace St,
Rocky Mount, NC 27804-5345
(252) 210-9856
(252) 822-5065

Map and Direction




Provider's Profile

Full NameTheodora Desronvil
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location300 N Grace St, Rocky Mount, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theodora Desronvil graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1902394067
  • Provider Enumeration Date: 04/24/2018
  • Last Update Date: 06/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951739085
  • Enrollment ID: I20200323003571

Medical Identifiers

Medical identifiers for Theodora Desronvil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902394067NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 303827 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5010560 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Drx High Point Pllc711306173029

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. Theodora Desronvil allows following entities to bill medicare on her behalf.
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922020908
PECOS PAC ID: 3173563590
Enrollment ID: O20050505000237
Entity NameDrx High Point Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669701306
PECOS PAC ID: 7113061730
Enrollment ID: O20100220000328
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528478237
PECOS PAC ID: 3173563590
Enrollment ID: O20140921000016
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396103305
PECOS PAC ID: 3173563590
Enrollment ID: O20161104000262
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750734307
PECOS PAC ID: 3173563590
Enrollment ID: O20170629002020
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639661796
PECOS PAC ID: 3173563590
Enrollment ID: O20190221001213

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. Theodora Desronvil 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 AddressPractice Location Address
Theodora Desronvil, FNP-BC
Po Box 2723,
Rocky Mount, NC 27802-2723

Ph: (252) 212-3486		Theodora Desronvil, FNP-BC
300 N Grace St,
Rocky Mount, NC 27804-5345

Ph: (252) 210-9856

Reviews and Comments


Nurse Practitioner Nurses in Rocky Mount, NC

Mrs. Thalia N Williams, PMHNP-BC
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Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804
Phone: 252-451-3200    Fax: 252-937-3107
Ashleigh Stone Hudson, FNP
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Practice Location: 2460 Curtis Ellis Dr, Rocky Mount, NC 27804
Phone: 252-962-2328    
Claire Bricely Clark, AGNP-C
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Practice Location: 2460 Curtis Ellis Dr Bldg 100, Rocky Mount, NC 27804
Phone: 252-962-6363    
Linda F Edmondson, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804
Phone: 252-937-0235    Fax: 252-937-3103
Kaitlin Mize Ruffin, CPNP-PC, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804
Phone: 252-451-3100    Fax: 252-937-3108

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.