Mrs Kenisha Teresa Wood, FNP in Oviedo, FL - Medicare Nurse Practitioner

Mrs Kenisha Teresa Wood, FNP is a medicare enrolled "Nurse Practitioner - Family" in Oviedo, Florida. Her current practice location is 3718 Greythorne Loop, Oviedo, Florida. You can reach out to her office (for appointments etc.) via phone at (631) 219-8520.

Mrs Kenisha Teresa Wood is licensed to practice in Florida (license number 11015729) 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 1144982984.

Contact Information

	Mrs Kenisha Teresa Wood, FNP
	3718 Greythorne Loop, Oviedo, FL 32765-9054
	(631) 219-8520
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kenisha Teresa Wood
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3718 Greythorne Loop, Oviedo, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144982984
Provider Enumeration Date: 10/08/2021
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4284009283
Enrollment ID: I20230405000086

Medical Identifiers

Medical identifiers for Mrs Kenisha Teresa Wood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144982984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11015729 (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. Mrs Kenisha Teresa Wood allows following entities to bill medicare on her behalf.

Entity Name	J.c. Wellness & Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346937737 PECOS PAC ID: 4587025473 Enrollment ID: O20230725000853

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. Mrs Kenisha Teresa Wood 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
Mrs Kenisha Teresa Wood, FNP 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701-4810 Ph: (407) 701-7356	Mrs Kenisha Teresa Wood, FNP 3718 Greythorne Loop, Oviedo, FL 32765-9054 Ph: (631) 219-8520

Reviews and Comments

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Mrs Kenisha Teresa Wood, FNP - Medicare Nurse Practitioner in Oviedo, FL