Dr Brendaliz Asencio, MD is a medicare enrolled "General Practice" physician in Deland, Florida. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Island Doctors Intrastate Llc and her current practice location is
925 N Stone St, Deland, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 734-6007.
Dr Brendaliz Asencio is licensed to practice in Florida (license number ACN430) 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 1780768978.
Physician's Profile
| Full Name | Dr Brendaliz Asencio |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 23 Years |
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| Location | 925 N Stone St, Deland, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brendaliz Asencio graduated from medical school in 2001
NPI Data:
- NPI Number: 1780768978
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860481611
- Enrollment ID: I20120821001037
Medical Identifiers
Medical identifiers for Dr Brendaliz Asencio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780768978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 14442 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN430 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Island Doctors Intrastate Llc | 5395161186 | 67 |
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. Dr Brendaliz Asencio allows following entities to bill medicare on her behalf.
| Entity Name | Roy H Hinman Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649383845
PECOS PAC ID: 3173584174
Enrollment ID: O20041022000798 |
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| Entity Name | Island Doctors Intrastate Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568083889
PECOS PAC ID: 5395161186
Enrollment ID: O20200811001733 |
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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. Dr Brendaliz Asencio 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 |
|---|
Dr Brendaliz Asencio, MD
925 N Stone St,
Deland, FL 32720-2521
Ph: (386) 734-6007 | Dr Brendaliz Asencio, MD
925 N Stone St,
Deland, FL 32720-2521
Ph: (386) 734-6007 |
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