Marcio Licurgo De Azevedo, APRN in Ocoee, FL - Medicare Nurse Practitioner

Marcio Licurgo De Azevedo, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ocoee, Florida. His current practice location is 2910 Maguire Rd Ste 2002, Ocoee, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 690-6906.

Marcio Licurgo De Azevedo is licensed to practice in Florida (license number 11029589) 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 1861266074.

Contact Information

	Marcio Licurgo De Azevedo, APRN
	2910 Maguire Rd Ste 2002, Ocoee, FL 34761-4742
	(239) 690-6906
	Not Available

Map and Direction

Provider's Profile

Full Name	Marcio Licurgo De Azevedo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2910 Maguire Rd Ste 2002, Ocoee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861266074
Provider Enumeration Date: 11/08/2023
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1153771993
Enrollment ID: I20231220001796

Medical Identifiers

Medical identifiers for Marcio Licurgo De Azevedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861266074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11029589 (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. Marcio Licurgo De Azevedo allows following entities to bill medicare on his behalf.

Entity Name	Mindful Behavioral Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477744548 PECOS PAC ID: 7810162740 Enrollment ID: O20111205000619

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. Marcio Licurgo De Azevedo 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
Marcio Licurgo De Azevedo, APRN 15024 Chapter Way, Winter Garden, FL 34787-1764 Ph: (901) 317-9198	Marcio Licurgo De Azevedo, APRN 2910 Maguire Rd Ste 2002, Ocoee, FL 34761-4742 Ph: (239) 690-6906

Reviews and Comments

Nurse Practitioner Nurses in Ocoee, FL

Nissa Cruz-vickers, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-296-1000
Brooke Wacker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1572 Citrus Medical Ct, Ocoee, FL 34761 Phone: 855-501-1004 Fax: 866-456-9587
Alexandra Alwin Updike, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10959 W Colonial Dr Ste 4, Ocoee, FL 34761 Phone: 407-217-9296
Amy Dalrymple, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2723 Maguire Rd, Ocoee, FL 34761 Phone: 407-877-7003
Abigail Key, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-296-1000
Michael Cutter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 440 Buckhaven Loop, Ocoee, FL 34761 Phone: 407-670-5764
Miss Whitley M Wasielewski, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1231 Arya Way Apt 104, Ocoee, FL 34761 Phone: 920-619-4098

Marcio Licurgo De Azevedo, APRN - Medicare Nurse Practitioner in Ocoee, FL