Mariah Mae Renaud, APRN - Medicare Nurse Practitioner in Gainesville, FL

Mariah Mae Renaud, APRN is a medicare enrolled "Nurse Practitioner" in Gainesville, Florida. Her current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 273-8610.

Mariah Mae Renaud is licensed to practice in Florida (license number APRN11024550) 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 1720785637.

Contact Information

Mariah Mae Renaud, APRN
1600 Sw Archer Rd,
Gainesville, FL 32610-5330
(352) 273-8610
Not Available



Provider's Profile

Full NameMariah Mae Renaud
GenderFemale
SpecialityNurse Practitioner
Location1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720785637
  • Provider Enumeration Date: 02/10/2023
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799142089
  • Enrollment ID: I20230531003465

Medical Identifiers

Medical identifiers for Mariah Mae Renaud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720785637NPI-NPPES
121476800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11024550 (Florida)Primary
363L00000XNurse Practitioner 11024550 (Florida)Secondary

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. Mariah Mae Renaud allows following entities to bill medicare on her behalf.
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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› Verified 8 days ago

Entity NameOne Stop Medical And Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417439191
PECOS PAC ID: 2668710476
Enrollment ID: O20190220001329

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› Verified 8 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. Mariah Mae Renaud 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
Mariah Mae Renaud, APRN
7221 Nw 161st Pl,
Trenton, FL 32693-9705

Ph: (352) 221-5050
Mariah Mae Renaud, APRN
1600 Sw Archer Rd,
Gainesville, FL 32610-5330

Ph: (352) 273-8610

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› Verified 8 days ago


Nurse Practitioner Nurses in Gainesville, FL

Susan Lynette Fort, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605
Phone: 352-224-8161    Fax: 321-320-8780
Mrs. Brandace Michele Kenworthy, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0111    
Miss Sadaf Nazar Malik, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 904-265-0111    
Mrs. Sara Renee West, FNP-C, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-9000    Fax: 352-392-8413
Sandrie Rose Dieujuste,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0045    
Cammie Foresha,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1809 Nw 39th Ave, Gainesville, FL 32605
Phone: 225-588-6225    
Ms. Stephani C Lowery, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0761    

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