Michel Ange Prophyl, FNP-BC in Lake Worth, FL

Michel Ange Prophyl, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Worth, Florida. Her current practice location is 7929 Aztec Ct, Lake Worth, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 851-5140.

Michel Ange Prophyl is licensed to practice in Florida (license number APRN11015800) 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 1508577495.

Contact Information

	Michel Ange Prophyl, FNP-BC
	7929 Aztec Ct, Lake Worth, FL 33463-8038
	(954) 851-5140
	Not Available

Map and Direction

Provider's Profile

Full Name	Michel Ange Prophyl
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7929 Aztec Ct, Lake Worth, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508577495
Provider Enumeration Date: 12/12/2022
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 3779954300
Enrollment ID: I20230828004139

Medical Identifiers

Medical identifiers for Michel Ange Prophyl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508577495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11015800 (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. Michel Ange Prophyl allows following entities to bill medicare on her behalf.

Entity Name	Gastro Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487767133 PECOS PAC ID: 2365440567 Enrollment ID: O20061127000011

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. Michel Ange Prophyl 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
Michel Ange Prophyl, FNP-BC 7929 Aztec Ct, Lake Worth, FL 33463-8038 Ph: (954) 851-5140	Michel Ange Prophyl, FNP-BC 7929 Aztec Ct, Lake Worth, FL 33463-8038 Ph: (954) 851-5140

Reviews and Comments

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Michel Ange Prophyl, FNP-BC - Medicare Nurse Practitioner in Lake Worth, FL