Ms Evelyn Glennys Villar, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Altamonte Springs, Florida. Her current practice location is
360 Douglas Ave, Altamonte Springs, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 788-8200.
Ms Evelyn Glennys Villar is licensed to practice in Florida (license number ARNP9259806) 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 1164754925.
Physician's Profile
| Full Name | Ms Evelyn Glennys Villar |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 360 Douglas Ave, Altamonte Springs, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164754925
- Provider Enumeration Date: 02/04/2010
- Last Update Date: 11/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739373275
- Enrollment ID: I20101028001480
Medical Identifiers
Medical identifiers for Ms Evelyn Glennys Villar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164754925 | NPI | - | NPPES |
| 002942600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | ARNP9259806 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9259806 (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. Ms Evelyn Glennys Villar allows following entities to bill medicare on her behalf.
| Entity Name | Centerwell Senior Primary Care Fl Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487686705
PECOS PAC ID: 9830184738
Enrollment ID: O20040419001657 |
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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. Ms Evelyn Glennys Villar 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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Ms Evelyn Glennys Villar, ARNP
4700 Millenia Blvd Ste 650,
Orlando, FL 32839-6013
Ph: (407) 447-7120 | Ms Evelyn Glennys Villar, ARNP
360 Douglas Ave,
Altamonte Springs, FL 32714-3335
Ph: (407) 788-8200 |
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