Mr Theotis Chappell Jr, APRN in Daytona Beach, FL

Mr Theotis Chappell Jr, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Daytona Beach, Florida. His current practice location is 1172 Pelican Bay Dr, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 206-8069.

Mr Theotis Chappell Jr is licensed to practice in Florida (license number APRN11027332) 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 1235817354.

Contact Information

	Mr Theotis Chappell Jr, APRN
	1172 Pelican Bay Dr, Daytona Beach, FL 32119-1381
	(386) 206-8069
	(386) 206-8069

Map and Direction

Provider's Profile

Full Name	Mr Theotis Chappell Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1172 Pelican Bay Dr, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235817354
Provider Enumeration Date: 07/10/2023
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4587016837
Enrollment ID: I20240123000725

Medical Identifiers

Medical identifiers for Mr Theotis Chappell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235817354	NPI	-	NPPES
121313700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11027332 (Florida)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN247061 (Georgia)	Secondary

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. Mr Theotis Chappell Jr allows following entities to bill medicare on his behalf.

Entity Name	Medical & Psychiatric Insitiute Of Florida, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205278454 PECOS PAC ID: 9638396526 Enrollment ID: O20140818001158

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 Theotis Chappell Jr 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
Mr Theotis Chappell Jr, APRN 1172 Pelican Bay Dr, Daytona Beach, FL 32119-1381 Ph: (386) 206-8069	Mr Theotis Chappell Jr, APRN 1172 Pelican Bay Dr, Daytona Beach, FL 32119-1381 Ph: (386) 206-8069

Reviews and Comments

Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597

Mr Theotis Chappell Jr, APRN - Medicare Nurse Practitioner in Daytona Beach, FL