Miss Michelle Rene Demenkow, PHD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Sunrise, Florida. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
14201 W Sunrise Blvd, Suite 208, Sunrise, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 851-9690.
Miss Michelle Rene Demenkow is licensed to practice in Florida (license number ARNP9211884) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063606614.
Healthcare Provider's Profile
| Full Name | Miss Michelle Rene Demenkow |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 10 Years |
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| Location | 14201 W Sunrise Blvd, Sunrise, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Michelle Rene Demenkow graduated from medical school in 2015
NPI Data:
- NPI Number: 1063606614
- Provider Enumeration Date: 08/28/2007
- Last Update Date: 04/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214835966
- Enrollment ID: I20131118001588
Medical Identifiers
Medical identifiers for Miss Michelle Rene Demenkow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063606614 | NPI | - | NPPES |
| 17568900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY6763 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP9211884 (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. Miss Michelle Rene Demenkow allows following entities to bill medicare on her behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213 |
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| Entity Name | Michelle R. Demenkow Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962435271
PECOS PAC ID: 4284652777
Enrollment ID: O20051103000242 |
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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. Miss Michelle Rene Demenkow 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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Miss Michelle Rene Demenkow, PHD
14201 W Sunrise Blvd Ste 208,
Sunrise, FL 33323-3207
Ph: (954) 851-9690 | Miss Michelle Rene Demenkow, PHD
14201 W Sunrise Blvd, Suite 208,
Sunrise, FL 33323-3207
Ph: (954) 851-9690 |
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