Melody Mutange-canelas, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Tampa, Florida. Her current practice location is
3000 Medical Park Dr Ste 500, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 615-7028.
Melody Mutange-canelas is licensed to practice in Florida (license number APRN11011136) 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 1134796022.
Physician's Profile
Full Name | Melody Mutange-canelas |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3000 Medical Park Dr Ste 500, Tampa, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134796022
- Provider Enumeration Date: 06/08/2021
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810397742
- Enrollment ID: I20210615002371
Medical Identifiers
Medical identifiers for Melody Mutange-canelas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134796022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | APRN (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11011136 (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. Melody Mutange-canelas allows following entities to bill medicare on her behalf.
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
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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. Melody Mutange-canelas 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 |
Melody Mutange-canelas, APRN 3000 Medical Park Dr Ste 500, Tampa, FL 33613-6600 Ph: (813) 615-7028 | Melody Mutange-canelas, APRN 3000 Medical Park Dr Ste 500, Tampa, FL 33613-6600 Ph: (813) 615-7028 |
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