Dr Evisencia G Mathurin, DNP - Medicare Nurse Practitioner in Tampa, FL

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Dr Evisencia G Mathurin, DNP is a medicare enrolled "Nurse Practitioner - Family" physician in Tampa, Florida. Her current practice location is 9618 Oak Glade Ave, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 580-9180.

Dr Evisencia G Mathurin is licensed to practice in Florida (license number APRN11007659) 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 1407472129.

Contact Information

Dr Evisencia G Mathurin, DNP
9618 Oak Glade Ave,
Tampa, FL 33647-2985
(813) 580-9180
Not Available

Map and Direction




Physician's Profile

Full NameDr Evisencia G Mathurin
GenderFemale
SpecialityNurse Practitioner - Family
Location9618 Oak Glade Ave, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407472129
  • Provider Enumeration Date: 06/18/2020
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911398904
  • Enrollment ID: I20211230000806

Medical Identifiers

Medical identifiers for Dr Evisencia G Mathurin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407472129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 74729 (New Mexico)Secondary
363L00000XNurse Practitioner AC004789 (Maryland)Secondary
363LF0000XNurse Practitioner - Family 74729 (New Mexico)Secondary
363LF0000XNurse Practitioner - Family APRN11007659 (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. Dr Evisencia G Mathurin allows following entities to bill medicare on her behalf.
Entity NameFlorida Hospital Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174955256
PECOS PAC ID: 2365679057
Enrollment ID: O20131231000600
Entity NameInpatient Specialists Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073008579
PECOS PAC ID: 0345584835
Enrollment ID: O20181211001542
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002247
Entity NamePinecrest Medical Specialists Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952076713
PECOS PAC ID: 0446657134
Enrollment ID: O20211015002209

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 Evisencia G Mathurin 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
Dr Evisencia G Mathurin, DNP
9618 Oak Glade Ave,
Tampa, FL 33647-2985

Ph: () -		Dr Evisencia G Mathurin, DNP
9618 Oak Glade Ave,
Tampa, FL 33647-2985

Ph: (813) 580-9180

Reviews and Comments



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.