Ezechiel Madestin, in Greenacres, FL - Medicare Nurse Practitioner

Ezechiel Madestin, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Greenacres, Florida. His current practice location is 5459 Queenship Ct, Greenacres, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 574-0851.

Ezechiel Madestin is licensed to practice in Florida (license number 11021815) 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 1710608344.

Contact Information

	Ezechiel Madestin,
	5459 Queenship Ct, Greenacres, FL 33463-5970
	(561) 574-0851
	Not Available

Map and Direction

Provider's Profile

Full Name	Ezechiel Madestin
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5459 Queenship Ct, Greenacres, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710608344
Provider Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 3375987886
Enrollment ID: I20240222003111

Medical Identifiers

Medical identifiers for Ezechiel Madestin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710608344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11021815 (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. Ezechiel Madestin allows following entities to bill medicare on his behalf.

Entity Name	Mobile Medical Operating Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245983022 PECOS PAC ID: 1456747625 Enrollment ID: O20220415001415

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. Ezechiel Madestin 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
Ezechiel Madestin, 5459 Queenship Ct, Greenacres, FL 33463-5970 Ph: (561) 574-0851	Ezechiel Madestin, 5459 Queenship Ct, Greenacres, FL 33463-5970 Ph: (561) 574-0851

Reviews and Comments

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Ezechiel Madestin, - Medicare Nurse Practitioner in Greenacres, FL