Ms Lystra Chang, APRN in Hollywood, FL - Medicare Nurse Practitioner

Ms Lystra Chang, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Hollywood, Florida. Her current practice location is 3702 Washington St Ste 303, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 518-2424.

Ms Lystra Chang is licensed to practice in Florida (license number APRN11019338) 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 1306577101.

Contact Information

	Ms Lystra Chang, APRN
	3702 Washington St Ste 303, Hollywood, FL 33021-8287
	(954) 518-2424
	(954) 981-3476

Map and Direction

Provider's Profile

Full Name	Ms Lystra Chang
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3702 Washington St Ste 303, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306577101
Provider Enumeration Date: 06/22/2022
Last Update Date: 05/05/2026

Medicare PECOS Information:

PECOS PAC ID: 6608319579
Enrollment ID: I20240620000026

Medical Identifiers

Medical identifiers for Ms Lystra Chang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306577101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN11019338 (Florida)	Primary
363LA2100X	Nurse Practitioner - Acute Care	433616 (New York)	Secondary

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. Ms Lystra Chang allows following entities to bill medicare on her behalf.

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750726378 PECOS PAC ID: 8123927373 Enrollment ID: O20131126001497

Entity Name	Oak Grove Physician Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689446700 PECOS PAC ID: 8628421526 Enrollment ID: O20240126002791

Entity Name	First Docs Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417655465 PECOS PAC ID: 0547626871 Enrollment ID: O20240606002364

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. Ms Lystra Chang 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
Ms Lystra Chang, APRN 7661 Nw 88th Ln, Tamarac, FL 33321-2407 Ph: (954) 376-0035	Ms Lystra Chang, APRN 3702 Washington St Ste 303, Hollywood, FL 33021-8287 Ph: (954) 518-2424

Reviews and Comments

Nurse Practitioner Nurses in Hollywood, FL

Mrs. Thamarre Paulino, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 Washington St Ste 403, Hollywood, FL 33021 Phone: 954-265-3982 Fax: 954-893-6518
Nancy Adrien, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Oakwood Blvd Ste 265, Hollywood, FL 33020 Phone: 786-577-8036
Fiorella Jahaira Saka, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave, Suite 590, Hollywood, FL 33021 Phone: 954-265-9500 Fax: 954-265-1431
Bella Gleiser Mendez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 385, Hollywood, FL 33021 Phone: 954-265-4325
Andrea Annmarie Goulbourne-smith, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7369 Sheridan St Ste 101, Hollywood, FL 33024 Phone: 954-561-6222 Fax: 954-990-7650
Jose Antonio Picon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Weeping Willow Way, Hollywood, FL 33019 Phone: 954-854-4069
Linda C Barreras, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Federal Hwy, Hollywood, FL 33020 Phone: 954-342-8800 Fax: 954-342-8700

Ms Lystra Chang, APRN - Medicare Nurse Practitioner in Hollywood, FL