Mallelin Bengochea, APRN is a medicare enrolled "Nurse Practitioner" provider in Temple Terrace, Florida. Her current practice location is
11531 N 56th St Ste 103, Temple Terrace, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 999-4963.
Mallelin Bengochea is licensed to practice in Florida (license number APRN11008135) 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 1023431665.
Healthcare Provider's Profile
Full Name | Mallelin Bengochea |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 11531 N 56th St Ste 103, Temple Terrace, 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: 1023431665
- Provider Enumeration Date: 02/03/2014
- Last Update Date: 07/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002210408
- Enrollment ID: I20210806002083
Medical Identifiers
Medical identifiers for Mallelin Bengochea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023431665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA66961 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN11008135 (Florida) | Primary |
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. Mallelin Bengochea 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 |
Mallelin Bengochea, APRN 11531 N 56th St Ste 103, Temple Terrace, FL 33617-2238 Ph: (813) 999-4963 | Mallelin Bengochea, APRN 11531 N 56th St Ste 103, Temple Terrace, FL 33617-2238 Ph: (813) 999-4963 |
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