Kristina Resendez, NP is a medicare enrolled "General Practice" in Carrollton, Texas. Her current practice location is
4541 N Josey Ln Ste 110, Carrollton, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 788-8588.
Kristina Resendez is licensed to practice in Texas (license number 1082992) 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 1558144402.
Provider's Profile
| Full Name | Kristina Resendez |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 4541 N Josey Ln Ste 110, Carrollton, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558144402
- Provider Enumeration Date: 08/15/2023
- Last Update Date: 12/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729436332
- Enrollment ID: I20240111004654
Medical Identifiers
Medical identifiers for Kristina Resendez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558144402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1082992 (Texas) | Secondary |
| 208D00000X | General Practice | 1082992 (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. Kristina Resendez allows following entities to bill medicare on her behalf.
| Entity Name | Little Lantern Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114409133
PECOS PAC ID: 0446502322
Enrollment ID: O20181003001751 |
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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. Kristina Resendez 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 |
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Kristina Resendez, NP
4541 N Josey Ln Ste 110,
Carrollton, TX 75010-4622
Ph: (469) 788-8588 | Kristina Resendez, NP
4541 N Josey Ln Ste 110,
Carrollton, TX 75010-4622
Ph: (469) 788-8588 |
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