Dmitriy Shishkin, in Daytona Beach, FL - Medicare Nurse Practitioner

Dmitriy Shishkin, is a medicare enrolled "Nurse Practitioner" in Daytona Beach, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Florida Clinical Practice Association and his current practice location is 311 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 255-2340.

Dmitriy Shishkin is licensed to practice in Florida (license number APRN9288346) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891230371.

Contact Information

	Dmitriy Shishkin,
	311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781
	(386) 255-2340
	Not Available

Map and Direction

Provider's Profile

Full Name	Dmitriy Shishkin
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	311 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dmitriy Shishkin graduated from nursing school in 2016

NPI Data:

NPI Number: 1891230371
Provider Enumeration Date: 12/20/2016
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 1557626991
Enrollment ID: I20180605002880

Medical Identifiers

Medical identifiers for Dmitriy Shishkin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891230371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	9288346 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN9288346 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Halifax Health Medical Center	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Clinical Practice Association	0345146254	1636

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. Dmitriy Shishkin allows following entities to bill medicare on his behalf.

Entity Name	Florida Clinical Practice Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

Entity Name	Kashyap Patel Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114037462 PECOS PAC ID: 9830152974 Enrollment ID: O20041109000902

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. Dmitriy Shishkin 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
Dmitriy Shishkin, Po Box 100265, Gainesville, FL 32610-0265 Ph: (352) 273-9000	Dmitriy Shishkin, 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 Ph: (386) 255-2340

Reviews and Comments

Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705
Holly Anne Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-323-9600 Fax: 386-323-9695
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597

Dmitriy Shishkin, - Medicare Nurse Practitioner in Daytona Beach, FL