Mrs Shanita Lashay Gamble, APRN in Orlando, FL

Mrs Shanita Lashay Gamble, APRN is a medicare enrolled "Nurse Practitioner - Family" in Orlando, Florida. Her current practice location is 4426 Old Winter Garden Rd, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 428-5751.

Mrs Shanita Lashay Gamble is licensed to practice in Florida (license number APRN11018419) 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 1770230427.

Contact Information

	Mrs Shanita Lashay Gamble, APRN
	4426 Old Winter Garden Rd, Orlando, FL 32811-4211
	(407) 428-5751
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shanita Lashay Gamble
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4426 Old Winter Garden Rd, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770230427
Provider Enumeration Date: 03/02/2022
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 6608259262
Enrollment ID: I20220815000258

Medical Identifiers

Medical identifiers for Mrs Shanita Lashay Gamble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770230427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11018419 (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 Shanita Lashay Gamble allows following entities to bill medicare on her behalf.

Entity Name	Premier Community Healthcare Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841263399 PECOS PAC ID: 3476450818 Enrollment ID: O20031215000701

Entity Name	Health Care Center For The Homeless Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235213216 PECOS PAC ID: 6103895107 Enrollment ID: O20101019001089

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 Shanita Lashay Gamble 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 Shanita Lashay Gamble, APRN 4426 Old Winter Garden Rd, Orlando, FL 32811-4211 Ph: (407) 428-5751	Mrs Shanita Lashay Gamble, APRN 4426 Old Winter Garden Rd, Orlando, FL 32811-4211 Ph: (407) 428-5751

Reviews and Comments

Nurse Practitioner Nurses in Orlando, FL

Janine Marie Kyte, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822 Phone: 407-322-8645 Fax: 407-322-8725
Latoya Wells, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mercy Dr, Wellness Program, Orlando, FL 32808 Phone: 407-822-5064 Fax: 407-532-1088
Aymara Del Pino, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 E Ridgewood St, Orlando, FL 32803 Phone: 407-841-1100
Mr. Heng Chai Lai, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 W Underwood St, Orlando, FL 32806 Phone: 321-843-5270 Fax: 321-843-5177
Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470

Mrs Shanita Lashay Gamble, APRN - Medicare Nurse Practitioner in Orlando, FL