Mrs Tera J Gwaldis, APRN is a medicare enrolled "Nurse Practitioner - Family" in Elkton, Florida. Her current practice location is
4570 County Road 13 S, Elkton, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 400-1678.
Mrs Tera J Gwaldis is licensed to practice in Florida (license number 11009720) 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 1821696303.
Provider's Profile
| Full Name | Mrs Tera J Gwaldis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4570 County Road 13 S, Elkton, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821696303
- Provider Enumeration Date: 10/15/2020
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355700667
- Enrollment ID: I20230705002356
Medical Identifiers
Medical identifiers for Mrs Tera J Gwaldis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821696303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11009720 (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 Tera J Gwaldis allows following entities to bill medicare on her behalf.
| Entity Name | Jack M. Matheny Ii, Md |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629198544
PECOS PAC ID: 9830114792
Enrollment ID: O20051010000763 |
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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 Tera J Gwaldis 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 |
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Mrs Tera J Gwaldis, APRN
4570 County Road 13 S,
Elkton, FL 32033-3402
Ph: (904) 400-1678 | Mrs Tera J Gwaldis, APRN
4570 County Road 13 S,
Elkton, FL 32033-3402
Ph: (904) 400-1678 |
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