Mr Allen Potter, FNP is a
Nurse Practitioner - Family based in Hurlburt Afb, Florida. Mr Allen Potter is licensed to practice in Florida (license number 11001842) and his current practice location is
1 Somdg, 113 Lielmanis Ave, Hurlburt Afb, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 881-2569.
NPI number for Mr Allen Potter is 1841817798 and his current mailing address is 1468 Wellington Cir, Rockledge, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841817798.
Provider's Profile
Full Name | Mr Allen Potter |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 1 Somdg, Hurlburt Afb, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841817798
- Provider Enumeration Date: 06/26/2020
- Last Update Date: 07/22/2024
Medical Identifiers
Medical identifiers for Mr Allen Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841817798 | NPI | - | NPPES |
1841817798 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN11001842 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11001842 (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. Mr Allen Potter 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 Address | Practice Location Address |
Mr Allen Potter, FNP 1468 Wellington Cir, Rockledge, FL 32955-4321 Ph: (321) 350-2045 | Mr Allen Potter, FNP 1 Somdg, 113 Lielmanis Ave, Hurlburt Afb, FL 32544 Ph: (850) 881-2569 |
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