Cristine Palacios Miclat, APRN, BC in Fort Stewart, GA

Cristine Palacios Miclat, APRN, BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Fort Stewart, Georgia. Her current practice location is 1061 Harmon Ave, Ste 1d03, Fort Stewart, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 435-6965.

Cristine Palacios Miclat is licensed to practice in Georgia (license number RN135637) 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 1649418310.

Contact Information

	Cristine Palacios Miclat, APRN, BC
	1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641
	(912) 435-6965
	Not Available

Map and Direction

Provider's Profile

Full Name	Cristine Palacios Miclat
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1061 Harmon Ave, Fort Stewart, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649418310
Provider Enumeration Date: 02/03/2009
Last Update Date: 12/27/2016

Medicare PECOS Information:

PECOS PAC ID: 3678620820
Enrollment ID: I20090406000252

Medical Identifiers

Medical identifiers for Cristine Palacios Miclat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649418310	NPI	-	NPPES
01299571	Other		AMERIGROUP
158532534B	Medicaid	GA
P00714517	Other	GA	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN135637 (Georgia)	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. Cristine Palacios Miclat allows following entities to bill medicare on her behalf.

Entity Name	Southcoast Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467451922 PECOS PAC ID: 9032013271 Enrollment ID: O20040109000192

Entity Name	Mppg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338

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. Cristine Palacios Miclat 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
Cristine Palacios Miclat, APRN, BC 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965	Cristine Palacios Miclat, APRN, BC 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965

Reviews and Comments

Nurse Practitioner Nurses in Fort Stewart, GA

Lariann S Ross, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Dmc/imc, Fort Stewart, GA 31314 Phone: 912-435-5706 Fax: 912-435-5569
Cheryl A. Allen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Ste 1003, Winn Army Community Hospital, Fort Stewart, GA 31314 Phone: 912-315-3991 Fax: 912-315-4927
Demetris Wright, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965
Mrs. Claudia Bradford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965
Ms. Marina Victorovna Nedospasova, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5687
Mrs. Erika Burke, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965
Karen Lynn Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5687

Cristine Palacios Miclat, APRN, BC - Medicare Nurse Practitioner in Fort Stewart, GA