Tatiana Kisluk, FNP, MSN - Medicare Nurse Practitioner in Fountainville, PA

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Tatiana Kisluk, FNP, MSN is a medicare enrolled "Nurse Practitioner - Family" in Fountainville, Pennsylvania. Her current practice location is 5039 Swamp Rd Ste 401, Fountainville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 230-8380.

Tatiana Kisluk is licensed to practice in Pennsylvania (license number SP014012) 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 1649673641.

Contact Information

Tatiana Kisluk, FNP, MSN
5039 Swamp Rd Ste 401,
Fountainville, PA 18923-9663
(215) 230-8380
(215) 230-8370

Map and Direction




Provider's Profile

Full NameTatiana Kisluk
GenderFemale
SpecialityNurse Practitioner - Family
Location5039 Swamp Rd Ste 401, Fountainville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649673641
  • Provider Enumeration Date: 10/03/2014
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1153543798
  • Enrollment ID: I20160120000862

Medical Identifiers

Medical identifiers for Tatiana Kisluk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649673641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP014012 (Pennsylvania)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. Tatiana Kisluk allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883
Entity NameAtlantic Physician Services Of Maryland, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730129594
PECOS PAC ID: 5193619765
Enrollment ID: O20040504000401
Entity NameTri-county Hospitalists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730518564
PECOS PAC ID: 4385872290
Enrollment ID: O20140122000447
Entity NamePractitioner Support Services Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114115706
PECOS PAC ID: 3375596984
Enrollment ID: O20180628000136
Entity NameOrigin Family Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477283042
PECOS PAC ID: 9638550734
Enrollment ID: O20220721000031

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. Tatiana Kisluk 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
Tatiana Kisluk, FNP, MSN
Po Box 417,
Fountainville, PA 18923-0417

Ph: (215) 230-8380		Tatiana Kisluk, FNP, MSN
5039 Swamp Rd Ste 401,
Fountainville, PA 18923-9663

Ph: (215) 230-8380

Reviews and Comments


Nurse Practitioner Nurses in Fountainville, PA

Mrs. Katherine Marie West Mohr, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923
Phone: 215-230-8380    
Rachel Im, MSN, CRNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5039 Swamp Rd Ste 406, Fountainville, PA 18923
Phone: 267-454-7147    
Margaret Welch, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923
Phone: 215-230-8380    
Diane Blackman, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923
Phone: 215-230-8380    Fax: 215-230-8370
Tara Lynn Verdolini, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1456 Ferry Road, Suite 600, Fountainville, PA 18923
Phone: 215-230-8390    Fax: 215-230-8392
Rene Curry, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5039 Swamp Rd, Suite 401, Fountainville, PA 18923
Phone: 215-230-8380    Fax: 215-230-8370

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.