Dr Kiersten Lea Prince, DO - Medicare Family Practice in Callahan, FL

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Dr Kiersten Lea Prince, DO is a medicare enrolled "Family Medicine" physician in Callahan, Florida. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Emergency Physicians Inc and her current practice location is 45465 Fifth Ave, Callahan, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 879-4544.

Dr Kiersten Lea Prince is licensed to practice in Florida (license number OS11823) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467689174.

Contact Information

Dr Kiersten Lea Prince, DO
45465 Fifth Ave,
Callahan, FL 32011-3901
(904) 879-4544
(904) 879-4411

Map and Direction




Physician's Profile

Full NameDr Kiersten Lea Prince
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location45465 Fifth Ave, Callahan, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kiersten Lea Prince graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1467689174
  • Provider Enumeration Date: 06/20/2009
  • Last Update Date: 12/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436309952
  • Enrollment ID: I20121018000469

Medical Identifiers

Medical identifiers for Dr Kiersten Lea Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467689174NPI-NPPES
P01201601OtherFLRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS11823 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Well Done Home Care IncJacksonville, FLHome health agency
Baptist Medical Center - NassauFernandina beach, FLHospital
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Physicians Inc791181143579

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. Dr Kiersten Lea Prince allows following entities to bill medicare on her behalf.
Entity NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248
Entity NameEmergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686675
PECOS PAC ID: 7911811435
Enrollment ID: O20040407000673

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. Dr Kiersten Lea Prince 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
Dr Kiersten Lea Prince, DO
Po Box 45443,
Salt Lake City, UT 84145-0443

Ph: (904) 202-1032		Dr Kiersten Lea Prince, DO
45465 Fifth Ave,
Callahan, FL 32011-3901

Ph: (904) 879-4544

Reviews and Comments


Family Medicine Doctors in Callahan, FL

Garrett D Cudmore, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 45465 Fifth Ave, Callahan, FL 32011
Phone: 904-879-4544    Fax: 904-390-7472
Brett J Lawson,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 450077 State Road 200 Ste 12, Callahan, FL 32011
Phone: 904-633-0560    
Mark Nicholas Brinkman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 45465 Fifth Ave, Callahan, FL 32011
Phone: 904-879-4544    Fax: 904-879-4411
Dr. Warren S Groff, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 45465 Fifth Ave, Credentialing Department, Callahan, FL 32011
Phone: 904-879-4544    Fax: 904-879-4411
Dr. Melina Sapida, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 449621 Us Highway 301 Ste 110, Callahan, FL 32011
Phone: 904-507-2692    Fax: 904-507-2693
Stephanie Pearson Meyer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 45465 Fifth Ave, Callahan, FL 32011
Phone: 904-879-4544    Fax: 904-879-4411

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.