Miriam Wells David, FNP in Tampa, FL - Medicare Nurse Practitioner

Miriam Wells David, FNP is a medicare enrolled "Nurse Practitioner" in Tampa, Florida. Her current practice location is 203 N Marion St, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 474-9804.

Miriam Wells David is licensed to practice in Florida (license number 110204691) 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 1497445530.

Contact Information

	Miriam Wells David, FNP
	203 N Marion St, Tampa, FL 33602-4914
	(813) 474-9804
	Not Available

Map and Direction

Provider's Profile

Full Name	Miriam Wells David
Gender	Female
Speciality	Nurse Practitioner
Location	203 N Marion St, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497445530
Provider Enumeration Date: 05/11/2023
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6406217512
Enrollment ID: I20230804000743

Medical Identifiers

Medical identifiers for Miriam Wells David such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497445530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	110204691 (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. Miriam Wells David allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Specialists Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073008579 PECOS PAC ID: 0345584835 Enrollment ID: O20181211001542

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. Miriam Wells David 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
Miriam Wells David, FNP 628 66th Ave S, Saint Petersburg, FL 33705-5934 Ph: (727) 204-1923	Miriam Wells David, FNP 203 N Marion St, Tampa, FL 33602-4914 Ph: (813) 474-9804

Reviews and Comments

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Miriam Wells David, FNP - Medicare Nurse Practitioner in Tampa, FL