Allen Maryasis, FNP-C is a medicare enrolled "Family Medicine" in Boca Raton, Florida. His current practice location is
844 Broken Sound Pkwy Nw Apt 319, Boca Raton, Florida. You can reach out to his office (for appointments etc.) via phone at
(917) 968-3162.
Allen Maryasis is licensed to practice in Florida (license number 11030948) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699539007.
Provider's Profile
| Full Name | Allen Maryasis |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 844 Broken Sound Pkwy Nw Apt 319, Boca Raton, 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: 1699539007
- Provider Enumeration Date: 02/07/2024
- Last Update Date: 01/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991145336
- Enrollment ID: I20240501003649
Medical Identifiers
Medical identifiers for Allen Maryasis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699539007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 11030948 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 11030948 (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. Allen Maryasis allows following entities to bill medicare on his behalf.
| Entity Name | Dr Gs Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881970168
PECOS PAC ID: 5395904429
Enrollment ID: O20120309000273 |
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| Entity Name | Infinite Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20201117000625 |
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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. Allen Maryasis 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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Allen Maryasis, FNP-C
844 Broken Sound Pkwy Nw Apt 319,
Boca Raton, FL 33487-3665
Ph: (917) 968-3162 | Allen Maryasis, FNP-C
844 Broken Sound Pkwy Nw Apt 319,
Boca Raton, FL 33487-3665
Ph: (917) 968-3162 |
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