Crystal A Ciszek, FNP in Jacksonville, FL - Medicare Nurse Practitioner

Crystal A Ciszek, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice At Home Palliative Care, Llc, At Home Palliative Care, Llc and her current practice location is 10752 Deerwood Park Blvd Ste 100, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (478) 290-0677.

Crystal A Ciszek is licensed to practice in Florida (license number 11020853) 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 1124486089.

Contact Information

	Crystal A Ciszek, FNP
	10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256-4846
	(478) 290-0677
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal A Ciszek
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	10752 Deerwood Park Blvd Ste 100, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal A Ciszek graduated from nursing school in 2015

NPI Data:

NPI Number: 1124486089
Provider Enumeration Date: 02/08/2016
Last Update Date: 09/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3375838832
Enrollment ID: I20160823000856

Medical Identifiers

Medical identifiers for Crystal A Ciszek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124486089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN209456 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	11020853 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
At Home Palliative Care, Llc	3274900410	6
At Home Palliative Care, Llc	3274900410	6

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. Crystal A Ciszek allows following entities to bill medicare on her behalf.

Entity Name	Langford Allergy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215351291 PECOS PAC ID: 6103057054 Enrollment ID: O20140318002105

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292

Entity Name	At Home Palliative Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790406148 PECOS PAC ID: 3274900410 Enrollment ID: O20230510000192

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. Crystal A Ciszek 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
Crystal A Ciszek, FNP 463688 State Road 200, Ste 1, #364, Yulee, FL 32097-0304 Ph: (478) 290-0677	Crystal A Ciszek, FNP 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256-4846 Ph: (478) 290-0677

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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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

Crystal A Ciszek, FNP - Medicare Nurse Practitioner in Jacksonville, FL