Mr Cristian A Vasiliev, FNP in Green Bay, WI - Medicare Nurse Practitioner

Mr Cristian A Vasiliev, FNP is a medicare enrolled "Nurse Practitioner - Family" in Green Bay, Wisconsin. His current practice location is 923 Eliza St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 965-4800.

Mr Cristian A Vasiliev is licensed to practice in Wisconsin (license number 13994-33) 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 1003508649.

Contact Information

	Mr Cristian A Vasiliev, FNP
	923 Eliza St, Green Bay, WI 54301-3018
	(920) 965-4800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Cristian A Vasiliev
Gender	Male
Speciality	Nurse Practitioner - Family
Location	923 Eliza St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003508649
Provider Enumeration Date: 05/23/2023
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 1557701570
Enrollment ID: I20240424002330

Medical Identifiers

Medical identifiers for Mr Cristian A Vasiliev such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003508649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13994-33 (Wisconsin)	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. Mr Cristian A Vasiliev allows following entities to bill medicare on his behalf.

Entity Name	Bellin Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

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. Mr Cristian A Vasiliev 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
Mr Cristian A Vasiliev, FNP Po Box 23400, 744 South Webster Ave, Green Bay, WI 54305-3018 Ph: (920) 433-7411	Mr Cristian A Vasiliev, FNP 923 Eliza St, Green Bay, WI 54301-3018 Ph: (920) 965-4800

Reviews and Comments

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Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301
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Mr Cristian A Vasiliev, FNP - Medicare Nurse Practitioner in Green Bay, WI