Carolyn Marie Ademski, ARNP in Jacksonville, FL

Carolyn Marie Ademski, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. Her current practice location is 4600 Touchton Rd E Ste 150, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (415) 671-2165.

Carolyn Marie Ademski is licensed to practice in Florida (license number APRN11003140) 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 1407458417.

Contact Information

	Carolyn Marie Ademski, ARNP
	4600 Touchton Rd E Ste 150, Jacksonville, FL 32246-8299
	(415) 671-2165
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn Marie Ademski
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4600 Touchton Rd E Ste 150, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407458417
Provider Enumeration Date: 11/13/2020
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5890217376
Enrollment ID: I20250313004139

Medical Identifiers

Medical identifiers for Carolyn Marie Ademski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407458417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	APRN11003140 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	LP0000326 (Delaware)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11003140 (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. Carolyn Marie Ademski allows following entities to bill medicare on her behalf.

Entity Name	Moonshot Psychiatric Nurse Practitioner Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669158879 PECOS PAC ID: 9335589696 Enrollment ID: O20241028003481

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. Carolyn Marie Ademski 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
Carolyn Marie Ademski, ARNP 914 Orange Isle, Fort Lauderdale, FL 33315-1670 Ph: (302) 650-6343	Carolyn Marie Ademski, ARNP 4600 Touchton Rd E Ste 150, Jacksonville, FL 32246-8299 Ph: (415) 671-2165

Reviews and Comments

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Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
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Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
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Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Carolyn Marie Ademski, ARNP - Medicare Nurse Practitioner in Jacksonville, FL