Individual provider Active NPI

Morgan Raquel Winokur, PAC

  • Surgical Physician Assistant
  • Hallandale Beach, FL
National Provider Identifier
1982975512
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9107851 Issued in FL
Practice address
1001 N Federal Hwy
#354
Hallandale Beach, FL 33009-2400
Phone
(800) 488-0279
Fax
(866) 902-8817
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 4947 AZ
Surgical Physician Assistant 363AS0400X 9107851 FL Primary

Addresses

Primary practice location

1001 N Federal Hwy
#354
Hallandale Beach, FL 33009-2400

Mailing address

1001 N Federal Hwy
#354
Hallandale Beach, FL 33009-2400
Phone (800) 488-0279

Other identifiers 1

IdentifierTypeStateIssuer
672044MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826002703 FL Practitioner - Physician Assistant 5193984623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard G Abood, M.D., P.a.Group PAC ID 2567403215, 13 clinicians

Practice addresses (Care Compare)

1514 Immokalee Rd
Unit 114
Naples, FL 34110-1454
Phone (239) 593-3232

3601 Tamiami Trail N
Unit 2
Naples, FL 34103-3728
Phone (239) 593-3232

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4947AZMDGeneral Practice Dentistry
9107851FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Select, Inc. Physician Assistant PastSince Dec 17, 2020 Accepting new patients
Health Consulting Associates LLC PastSince Oct 20, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1982975512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "#354",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "800-488-0279",
            "fax_number": "866-902-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "#354",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "800-488-0279",
            "fax_number": "866-902-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINOKUR",
        "first_name": "MORGAN",
        "middle_name": "RAQUEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4947",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9107851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672044",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.