Krystal Kay Lavine, - Medicare Nurse Practitioner in Bourbon, IN

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Krystal Kay Lavine, is a medicare enrolled "Nurse Practitioner - Family" in Bourbon, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Joseph Regional Medical Center Inc and her current practice location is 114 N Washington St, Bourbon, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-7850.

Krystal Kay Lavine is licensed to practice in Indiana (license number 71008330A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821586207.

Contact Information

Krystal Kay Lavine,
114 N Washington St,
Bourbon, IN 46504-1623
(574) 335-7850
(574) 335-0755

Map and Direction




Provider's Profile

Full NameKrystal Kay Lavine
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location114 N Washington St, Bourbon, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Krystal Kay Lavine graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1821586207
  • Provider Enumeration Date: 05/01/2018
  • Last Update Date: 11/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466705181
  • Enrollment ID: I20181026001342

Medical Identifiers

Medical identifiers for Krystal Kay Lavine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821586207NPI-NPPES
1102236362OtherINANTHEM
300020124MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71008330A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical Center - PlymouthPlymouth, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Joseph Regional Medical Center Inc8325950843107

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. Krystal Kay Lavine allows following entities to bill medicare on her behalf.
Entity NameSaint Joseph Regional Medical Center- Plymouth Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538585187
PECOS PAC ID: 9537071337
Enrollment ID: O20031223000588
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841245594
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameSaint Joseph Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225082878
PECOS PAC ID: 8325950843
Enrollment ID: O20040708000757

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. Krystal Kay Lavine 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 AddressPractice Location Address
Krystal Kay Lavine,
707 Cedar St Ste 405,
South Bend, IN 46617-2059

Ph: () -		Krystal Kay Lavine,
114 N Washington St,
Bourbon, IN 46504-1623

Ph: (574) 335-7850

Reviews and Comments


Nurse Practitioner Nurses in Bourbon, IN

Mrs. Jennifer Robyn Friberg, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 114 N Washington St, Bourbon, IN 46504
Phone: 574-335-7850    Fax: 574-335-0755
Mrs. Barbara Jane Kunnen, MS, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 114 N Washington St, Bourbon, IN 46504
Phone: 574-335-7850    Fax: 574-335-0755

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.