Kaleb Sistrunk, ARNP-BC in Cocoa Beach, FL - Medicare Nurse Practitioner

Kaleb Sistrunk, ARNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Cocoa Beach, Florida. His current practice location is 275 W Cocoa Beach Cswy, Cocoa Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 799-7777.

Kaleb Sistrunk is licensed to practice in Florida (license number 657432) 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 1447994876.

Contact Information

	Kaleb Sistrunk, ARNP-BC
	275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529
	(321) 799-7777
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaleb Sistrunk
Gender	Male
Speciality	Nurse Practitioner - Family
Location	275 W Cocoa Beach Cswy, Cocoa Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447994876
Provider Enumeration Date: 04/22/2022
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6204207277
Enrollment ID: I20230131000024

Medical Identifiers

Medical identifiers for Kaleb Sistrunk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447994876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	657432 (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. Kaleb Sistrunk allows following entities to bill medicare on his behalf.

Entity Name	Medfast Urgent Care Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442

Entity Name	All Family Walk-in Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558948455 PECOS PAC ID: 0345640249 Enrollment ID: O20210615001397

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. Kaleb Sistrunk 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
Kaleb Sistrunk, ARNP-BC 9011 Lithia Pinecrest Rd, Lithia, FL 33547-2815 Ph: (813) 730-3874	Kaleb Sistrunk, ARNP-BC 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 Ph: (321) 799-7777

Reviews and Comments

Nurse Practitioner Nurses in Cocoa Beach, FL

Ms. Brittany Lauren Durbin, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 W Cocoa Beach Cswy Unit 202, Cocoa Beach, FL 32931 Phone: 321-549-0815 Fax: 321-768-0039
Laura Ann Dijerome, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Woodland Ave, Cocoa Beach, FL 32931 Phone: 321-799-2840
Mrs. Elizabeth Paige Shinn, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Samar Rd, Cocoa Beach, FL 32931 Phone: 321-888-2002 Fax: 321-306-2876
Karen Ohern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 699 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-784-5437 Fax: 321-799-1231
Sandra M Jennings Ingle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931 Phone: 321-868-5833 Fax: 321-868-5854
Mrs. Andrea L Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 W Cocoa Beach Cswy, Suite 404, Cocoa Beach, FL 32931 Phone: 321-868-2778 Fax: 321-868-2748
Laura Francois, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 S Banana River Blvd Fl 1, Cocoa Beach, FL 32931 Phone: 321-868-8313 Fax: 321-799-9273

Kaleb Sistrunk, ARNP-BC - Medicare Nurse Practitioner in Cocoa Beach, FL