Malise Ann Novotny, APRN is a medicare enrolled "Clinical Nurse Specialist - Oncology" in Bonita Springs, Florida. Her current practice location is
9776 Bonita Beach Rd Se Ste 201a, Bonita Springs, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 947-3092.
Malise Ann Novotny is licensed to practice in Florida (license number APRN11009559) 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 1205433687.
Provider's Profile
| Full Name | Malise Ann Novotny |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Oncology |
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| Location | 9776 Bonita Beach Rd Se Ste 201a, Bonita Springs, 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: 1205433687
- Provider Enumeration Date: 10/08/2020
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850702564
- Enrollment ID: I20201202001297
Medical Identifiers
Medical identifiers for Malise Ann Novotny such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205433687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN11009559 (Florida) | Secondary |
| 364SX0200X | Clinical Nurse Specialist - Oncology | APRN11009559 (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. Malise Ann Novotny allows following entities to bill medicare on her behalf.
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760590962
PECOS PAC ID: 2567356058
Enrollment ID: O20040216000091 |
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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. Malise Ann Novotny 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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Malise Ann Novotny, APRN
4371 Veronica S Shoemaker Blvd,
Fort Myers, FL 33916-2216
Ph: (239) 274-8200 | Malise Ann Novotny, APRN
9776 Bonita Beach Rd Se Ste 201a,
Bonita Springs, FL 34135-4775
Ph: (239) 947-3092 |
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