Kathrine Rose Polistina, ARNP in Jacksonville, FL

Kathrine Rose Polistina, ARNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Jacksonville, Florida. Her current practice location is 800 Prudential Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at () -.

Kathrine Rose Polistina is licensed to practice in Florida (license number ARNP9310012) 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 1437670643.

Contact Information

	Kathrine Rose Polistina, ARNP
	800 Prudential Dr, Jacksonville, FL 32207-8202
	() -
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathrine Rose Polistina
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	800 Prudential Dr, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437670643
Provider Enumeration Date: 06/28/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8729350772
Enrollment ID: I20170825000717

Medical Identifiers

Medical identifiers for Kathrine Rose Polistina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437670643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	ARNP9310012 (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. Kathrine Rose Polistina allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673

Entity Name	Jacksonville Brain & Spine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336651009 PECOS PAC ID: 1456611359 Enrollment ID: O20180215000485

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. Kathrine Rose Polistina 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
Kathrine Rose Polistina, ARNP 800 Prudential Dr # 1100, Jacksonville, FL 32207-8202 Ph: () -	Kathrine Rose Polistina, ARNP 800 Prudential Dr, Jacksonville, FL 32207-8202 Ph: () -

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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Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
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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

Kathrine Rose Polistina, ARNP - Medicare Nurse Practitioner in Jacksonville, FL