Stephanie Prudencio, DO in Pensacola, FL

Stephanie Prudencio, DO is a medicare enrolled "Pediatrics" physician in Pensacola, Florida. Her current practice location is 5151 N 9th Ave, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 416-7000.

Stephanie Prudencio is licensed to practice in Florida (license number OS18629) 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 1699235200.

Contact Information

	Stephanie Prudencio, DO
	5151 N 9th Ave, Pensacola, FL 32504-8721
	(850) 416-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Stephanie Prudencio
Gender	Female
Speciality	Pediatrics
Location	5151 N 9th Ave, Pensacola, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699235200
Provider Enumeration Date: 03/20/2019
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4880036300
Enrollment ID: I20240529001310

Medical Identifiers

Medical identifiers for Stephanie Prudencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699235200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OS18629 (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. Stephanie Prudencio allows following entities to bill medicare on her behalf.

Entity Name	Sacred Heart Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144271586 PECOS PAC ID: 3779491386 Enrollment ID: O20031125000699

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. Stephanie Prudencio 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
Stephanie Prudencio, DO 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063	Stephanie Prudencio, DO 5151 N 9th Ave, Pensacola, FL 32504-8721 Ph: (850) 416-7000

Reviews and Comments

Pediatrics Doctors in Pensacola, FL

Elyse S Schrandt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-1575
Prashanth Shanmugham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-4970
Lisbeth Vernali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4785 N 9th Ave, Suite A, Pensacola, FL 32503 Phone: 850-478-7600
Gulnur Com, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-1110 Fax: 850-416-1192
John Frank Bullard Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2805 Bayou Blvd, Pensacola, FL 32503 Phone: 850-434-6881 Fax: 850-434-8999
Mr. Roger C Clubbs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4951 Grande Dr, Pensacola, FL 32504 Phone: 850-473-0100 Fax: 850-473-0500
Robert K Wilson Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5192 Bayou Blvd, Pensacola, FL 32503 Phone: 850-484-5040 Fax: 850-475-5527

Stephanie Prudencio, DO - Medicare Pediatrics in Pensacola, FL