Mrs Monique F Fuentes, PT in Jacksonville, FL - Medicare Physical Therapist Provider

Mrs Monique F Fuentes, PT is a medicare enrolled "Physical Therapist - Geriatrics" provider in Jacksonville, Florida. Her current practice location is Camellia At Deerwood, 10061 Sweetwater Parkway, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 519-1034.

Mrs Monique F Fuentes is licensed to practice in Georgia (license number PT008398) 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 1376799684.

Contact Information

	Mrs Monique F Fuentes, PT
	Camellia At Deerwood, 10061 Sweetwater Parkway, Jacksonville, FL 32256-3225
	(904) 519-1034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Monique F Fuentes
Gender	Female
Speciality	Physical Therapist - Geriatrics
Location	Camellia At Deerwood, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376799684
Provider Enumeration Date: 08/18/2008
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4284004094
Enrollment ID: I20230111002457

Medical Identifiers

Medical identifiers for Mrs Monique F Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376799684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT11535 (Florida)	Secondary
2251G0304X	Physical Therapist - Geriatrics	PT008398 (Georgia)	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 Monique F Fuentes allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289

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 Monique F Fuentes 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 Monique F Fuentes, PT 1501 Winston Ln, Fleming Island, FL 32003-7400 Ph: (904) 635-7393	Mrs Monique F Fuentes, PT Camellia At Deerwood, 10061 Sweetwater Parkway, Jacksonville, FL 32256-3225 Ph: (904) 519-1034

Reviews and Comments

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Mrs Monique F Fuentes, PT - Medicare Physical Therapist in Jacksonville, FL