Vanessa S Petit-vaval, APRN - Medicare Nurse Practitioner in Hollywood, FL

Vanessa S Petit-vaval, APRN is a medicare enrolled "Nurse Practitioner" physician in Hollywood, Florida. Her current practice location is 1150 N 35th Ave Ste 560, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 265-1460.

Vanessa S Petit-vaval is licensed to practice in Florida (license number APRN9346924) 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 1295240497.

Contact Information

Vanessa S Petit-vaval, APRN
1150 N 35th Ave Ste 560,
Hollywood, FL 33021-5431
(954) 265-1460
(954) 265-1375



Physician's Profile

Full NameVanessa S Petit-vaval
GenderFemale
SpecialityNurse Practitioner
Location1150 N 35th Ave Ste 560, Hollywood, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295240497
  • Provider Enumeration Date: 12/10/2017
  • Last Update Date: 03/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002243029
  • Enrollment ID: I20200303001740

Medical Identifiers

Medical identifiers for Vanessa S Petit-vaval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295240497NPI-NPPES
105261300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology ARNP9346924 (Florida)Secondary
363L00000XNurse Practitioner APRN9346924 (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. Vanessa S Petit-vaval allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20070217000007

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Entity NameSouth Broward Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578932687
PECOS PAC ID: 8123927373
Enrollment ID: O20151219000173

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Entity NameV4 Full Circle Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861135881
PECOS PAC ID: 1759762933
Enrollment ID: O20220719002607

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› Verified 7 days ago

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. Vanessa S Petit-vaval 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 AddressPractice Location Address
Vanessa S Petit-vaval, APRN
2900 Corporate Way, Door D,
Miramar, FL 33025-3925

Ph: (954) 276-5685
Vanessa S Petit-vaval, APRN
1150 N 35th Ave Ste 560,
Hollywood, FL 33021-5431

Ph: (954) 265-1460

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› Verified 7 days ago



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