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Renee Denise Buchanan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

PECOS Enrollment

This provider is enrolled in PECOS as RENEE BUCHANAN.

Based on the most recent information from CMS, provider Renee Denise Buchanan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1659107100
Provider Type
Individual
Full Name
Buchanan, Renee Denise
Gender
Female

Sole Proprietor
No
Enumeration Date
9/11/2024
Last Updated
10/11/2024

Contact Information

Practice Location

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

(407) 647-2346

Unlisted Fax

Mailing Location

15416 Avery Rd, Port Charlotte, FL 33981-3225

(954) 817-6757

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11035830 Florida

Renee Denise Buchanan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Parsons, Kaitlin

Wasielewski, Whitley M

Denby, Allison

Johnson, Sharanna S

Francis, Rebecca

Torres, Krisnamor

Patenaude, Christopher Robert

Scippio, Michalona

Malz, Eric

Schmidt, Samantha