Mrs Annet Tamara Lister Perez, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Cape Coral, Florida. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Behavioral Health Llc and her current practice location is
3501 Del Prado Blvd S Ste 303, Cape Coral, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 317-0265.
Mrs Annet Tamara Lister Perez is licensed to practice in Florida (license number APRN110078) 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 1164040259.
Physician's Profile
| Full Name | Mrs Annet Tamara Lister Perez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3501 Del Prado Blvd S Ste 303, Cape Coral, 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:
- Mrs Annet Tamara Lister Perez graduated from medical school in 2020
NPI Data:
- NPI Number: 1164040259
- Provider Enumeration Date: 07/06/2020
- Last Update Date: 01/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799104105
- Enrollment ID: I20201005002200
Medical Identifiers
Medical identifiers for Mrs Annet Tamara Lister Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164040259 | NPI | - | NPPES |
| 109138300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 11007889 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN110078 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Behavioral Health Llc | 6204164882 | 14 |
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. Mrs Annet Tamara Lister Perez allows following entities to bill medicare on her behalf.
| Entity Name | Community Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649733544
PECOS PAC ID: 6204164882
Enrollment ID: O20190820003457 |
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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. Mrs Annet Tamara Lister Perez 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 |
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Mrs Annet Tamara Lister Perez, APRN
1123 Se 19th Ln,
Cape Coral, FL 33990-4532
Ph: (305) 572-3747 | Mrs Annet Tamara Lister Perez, APRN
3501 Del Prado Blvd S Ste 303,
Cape Coral, FL 33904-7222
Ph: (239) 317-0265 |
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