Kristin Marie Wilczynski, APRN, PMHNP-BC in Fort Worth, TX

Kristin Marie Wilczynski, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 3256 Lackland Rd Ste D, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 482-3505.

Kristin Marie Wilczynski is licensed to practice in Texas (license number 1011148) 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 1548003544.

Contact Information

	Kristin Marie Wilczynski, APRN, PMHNP-BC
	3256 Lackland Rd Ste D, Fort Worth, TX 76116-5307
	(817) 482-3505
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristin Marie Wilczynski
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3256 Lackland Rd Ste D, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548003544
Provider Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024

Medicare PECOS Information:

PECOS PAC ID: 9335676204
Enrollment ID: I20241217003834

Medical Identifiers

Medical identifiers for Kristin Marie Wilczynski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548003544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1011148 (Texas)	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. Kristin Marie Wilczynski allows following entities to bill medicare on her behalf.

Entity Name	Nesting Minds Psychiatry, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104644459 PECOS PAC ID: 2961938915 Enrollment ID: O20241213001141

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. Kristin Marie Wilczynski 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
Kristin Marie Wilczynski, APRN, PMHNP-BC 3256 Lackland Rd Ste D, Fort Worth, TX 76116-5307 Ph: () -	Kristin Marie Wilczynski, APRN, PMHNP-BC 3256 Lackland Rd Ste D, Fort Worth, TX 76116-5307 Ph: (817) 482-3505

Reviews and Comments

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Kristin Marie Wilczynski, APRN, PMHNP-BC - Medicare Nurse Practitioner in Fort Worth, TX