Maydelis De La Caridad Pena, is a medicare enrolled "Developmental Therapist" provider in Cape Coral, Florida. Her current practice location is
2119 Ne 36th Ter, Cape Coral, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 214-4128.
Maydelis De La Caridad Pena is licensed to practice in * (Not Available) (license number OT24034) 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 1205380144.
Healthcare Provider's Profile
Full Name | Maydelis De La Caridad Pena |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 2119 Ne 36th Ter, Cape Coral, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205380144
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800252859
- Enrollment ID: I20230516003527
Medical Identifiers
Medical identifiers for Maydelis De La Caridad Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205380144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT24034 (Florida) | Secondary |
222Q00000X | Developmental Therapist | OT24034 (* (Not Available)) | 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. Maydelis De La Caridad Pena allows following entities to bill medicare on her behalf.
Provider Name | Dynamic Mobile Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1356086961 PECOS PAC ID: 0749660801 Enrollment ID: O20220707000128 |
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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. Maydelis De La Caridad Pena 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 |
Maydelis De La Caridad Pena, 2119 Ne 36th Ter, Cape Coral, FL 33909-3245 Ph: (239) 214-4128 | Maydelis De La Caridad Pena, 2119 Ne 36th Ter, Cape Coral, FL 33909-3245 Ph: (239) 214-4128 |
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