Rechelieu Luban Sudario, APRN in Orange Park, FL

Rechelieu Luban Sudario, APRN is a medicare enrolled "Nurse Practitioner - Family" in Orange Park, Florida. His current practice location is 2233 Park Ave Ste 403&405, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 688-3000.

Rechelieu Luban Sudario is licensed to practice in Florida (license number APRN11019872) 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 1649919697.

Contact Information

	Rechelieu Luban Sudario, APRN
	2233 Park Ave Ste 403&405, Orange Park, FL 32073-5570
	(904) 688-3000
	(904) 688-3001

Map and Direction

Provider's Profile

Full Name	Rechelieu Luban Sudario
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2233 Park Ave Ste 403&405, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649919697
Provider Enumeration Date: 05/28/2022
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 3779967781
Enrollment ID: I20220824003761

Medical Identifiers

Medical identifiers for Rechelieu Luban Sudario such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649919697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11019872 (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. Rechelieu Luban Sudario allows following entities to bill medicare on his behalf.

Entity Name	Trenton Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865

Entity Name	Shc Medical Partners Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861677064 PECOS PAC ID: 7618046517 Enrollment ID: O20080519000422

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. Rechelieu Luban Sudario 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
Rechelieu Luban Sudario, APRN 23343 Nw County Road 236, High Springs, FL 32643-9669 Ph: (386) 454-0698	Rechelieu Luban Sudario, APRN 2233 Park Ave Ste 403&405, Orange Park, FL 32073-5570 Ph: (904) 688-3000

Reviews and Comments

Nurse Practitioner Nurses in Orange Park, FL

Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780
Erica Devetia Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1536 Kingsley Ave Ste 117, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769

Rechelieu Luban Sudario, APRN - Medicare Nurse Practitioner in Orange Park, FL