Sergene Dejean, is a medicare enrolled "Nurse Practitioner" physician in Miami, Florida. Her current practice location is
1400 Nw 12th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 689-5881.
Sergene Dejean is licensed to practice in Florida (license number APRN9274321) 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 1255891362.
Physician's Profile
| Full Name | Sergene Dejean |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1400 Nw 12th Ave, Miami, 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: 1255891362
- Provider Enumeration Date: 03/23/2019
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991125148
- Enrollment ID: I20201009000585
Medical Identifiers
Medical identifiers for Sergene Dejean such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255891362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 9274321 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN9274321 (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. Sergene Dejean allows following entities to bill medicare on her behalf.
| Entity Name | University Of Miami |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006 |
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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. Sergene Dejean 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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Sergene Dejean,
5273 Sw 121st Ter,
Cooper City, FL 33330-4279
Ph: (305) 336-9360 | Sergene Dejean,
1400 Nw 12th Ave,
Miami, FL 33136-1003
Ph: (305) 689-5881 |
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