Krystle Lynne Doherty, ARNP is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" in Pensacola, Florida. Her current practice location is
213 E Wright St, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 378-5618.
Krystle Lynne Doherty is licensed to practice in Florida (license number APRN11033513) 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 1669218756.
Provider's Profile
| Full Name | Krystle Lynne Doherty |
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| Gender | Female |
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| Speciality | Family Medicine - Hospice And Palliative Medicine |
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| Location | 213 E Wright St, Pensacola, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669218756
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 11/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850837279
- Enrollment ID: I20240722003331
Medical Identifiers
Medical identifiers for Krystle Lynne Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669218756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 11033513 (Florida) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | APRN11033513 (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. Krystle Lynne Doherty allows following entities to bill medicare on her behalf.
| Entity Name | Peoples Hospice And Palliative Care Of Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992436026 PECOS PAC ID: 9638544208 Enrollment ID: O20240827001210 |
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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. Krystle Lynne Doherty 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 |
Krystle Lynne Doherty, ARNP 213 E Wright St, Pensacola, FL 32501-4917 Ph: (850) 378-5618 | Krystle Lynne Doherty, ARNP 213 E Wright St, Pensacola, FL 32501-4917 Ph: (850) 378-5618 |
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