Carlos Mario Mujica, APRN in Tampa, FL - Medicare Nurse Practitioner

Carlos Mario Mujica, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tampa, Florida. His current practice location is 13302 Winding Oak Ct Ste A, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 930-8424.

Carlos Mario Mujica is licensed to practice in Florida (license number 11016795) 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 1265191803.

Contact Information

	Carlos Mario Mujica, APRN
	13302 Winding Oak Ct Ste A, Tampa, FL 33612-3425
	(813) 930-8424
	Not Available

Map and Direction

Provider's Profile

Full Name	Carlos Mario Mujica
Gender	Male
Speciality	Nurse Practitioner - Family
Location	13302 Winding Oak Ct Ste A, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265191803
Provider Enumeration Date: 12/10/2021
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 8022458645
Enrollment ID: I20240430002969

Medical Identifiers

Medical identifiers for Carlos Mario Mujica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265191803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11016795 (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. Carlos Mario Mujica allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Medical Centers Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598226797 PECOS PAC ID: 4981933785 Enrollment ID: O20190904000205

Entity Name	Affinity Health & Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114602448 PECOS PAC ID: 8426496779 Enrollment ID: O20240404003366

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. Carlos Mario Mujica 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
Carlos Mario Mujica, APRN 6747 Ralston Beach Cir, Tampa, FL 33614-4207 Ph: (813) 580-2268	Carlos Mario Mujica, APRN 13302 Winding Oak Ct Ste A, Tampa, FL 33612-3425 Ph: (813) 930-8424

Reviews and Comments

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Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
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Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Carlos Mario Mujica, APRN - Medicare Nurse Practitioner in Tampa, FL