Mariah Tienna Prevatte, APRN - Pediatrics in Lakeland, FL

  1. Home
Mariah Tienna Prevatte, APRN is a Pediatrics - Pediatric Critical Care Medicine based in Lakeland, Florida. Mariah Tienna Prevatte is licensed to practice in Florida (license number APRN11035770) and her current practice location is 1324 Lakeland Hills Blvd, Lakeland, Florida. She can be reached at her office (for appointments etc.) via phone at (863) 687-1100.

NPI number for Mariah Tienna Prevatte is 1750120705 and her current mailing address is 1850 Saddlewood Pl, Bartow, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750120705.

Contact Information

Mariah Tienna Prevatte, APRN
1324 Lakeland Hills Blvd,
Lakeland, FL 33805-4543
(863) 687-1100
Not Available

Map and Direction




Provider's Profile

Full NameMariah Tienna Prevatte
GenderFemale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1324 Lakeland Hills Blvd, Lakeland, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750120705
  • Provider Enumeration Date: 05/20/2024
  • Last Update Date: 02/09/2025

Medical Identifiers

Medical identifiers for Mariah Tienna Prevatte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750120705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics RN9423564 (Florida)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine APRN11035770 (Florida)Primary

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. Mariah Tienna Prevatte is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mariah Tienna Prevatte, APRN
1850 Saddlewood Pl,
Bartow, FL 33830-2917

Ph: (863) 253-9839		Mariah Tienna Prevatte, APRN
1324 Lakeland Hills Blvd,
Lakeland, FL 33805-4543

Ph: (863) 687-1100

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.