Brian A Krivisky, MD in Fort Myers, FL

Brian A Krivisky, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Myers, Florida. His current practice location is 14551 Hope Center Loop Ste 100, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 936-2316.

Brian A Krivisky is licensed to practice in Florida (license number ME50392) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043265952.

Contact Information

	Brian A Krivisky, MD
	14551 Hope Center Loop Ste 100, Fort Myers, FL 33912-4705
	(239) 936-2316
	(239) 936-3099

Map and Direction

Physician's Profile

Full Name	Brian A Krivisky
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	14551 Hope Center Loop Ste 100, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043265952
Provider Enumeration Date: 05/23/2006
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8022090166
Enrollment ID: I20041110000316

Medical Identifiers

Medical identifiers for Brian A Krivisky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043265952	NPI	-	NPPES
ME50392	Other	FL	FLORIDA LICENSE
046328100	Medicaid	FL
0624239	Other		AETNA HMO
4129715	Other		AETNA PPO
04140	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	ME50392 (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. Brian A Krivisky allows following entities to bill medicare on his behalf.

Entity Name	Radiology Regional Center P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407809262 PECOS PAC ID: 9638151756 Enrollment ID: O20040603000024

Entity Name	Radiology Regional Center Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619365772 PECOS PAC ID: 3274858295 Enrollment ID: O20150216001973

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. Brian A Krivisky 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 Address	Practice Location Address
Brian A Krivisky, MD 3660 Broadway, Fort Myers, FL 33901-8005 Ph: (239) 936-2316	Brian A Krivisky, MD 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912-4705 Ph: (239) 936-2316

Reviews and Comments

Radiology Doctors in Fort Myers, FL

Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316
Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316
Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588
Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989
Mitchell Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106
Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219
Dr. Michael J Weiss, MD Radiology Medicare: Medicare Enrolled Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588

Brian A Krivisky, MD - Medicare Radiology in Fort Myers, FL