Mrs Krystal Marie Disantis, NP-C in Daytona Beach, FL

Mrs Krystal Marie Disantis, NP-C is a medicare enrolled "Nurse Practitioner" in Daytona Beach, Florida. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cardiac Vision Llc and her current practice location is 731 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 738-9144.

Mrs Krystal Marie Disantis is licensed to practice in Ohio (license number APRN.CNP.0233204) 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 1033693288.

Contact Information

	Mrs Krystal Marie Disantis, NP-C
	731 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603
	(786) 738-9144
	(877) 245-1597

Map and Direction

Provider's Profile

Full Name	Mrs Krystal Marie Disantis
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	731 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Krystal Marie Disantis graduated from nursing school in 2018

NPI Data:

NPI Number: 1033693288
Provider Enumeration Date: 09/23/2018
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 2062759657
Enrollment ID: I20211111001456

Medical Identifiers

Medical identifiers for Mrs Krystal Marie Disantis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033693288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN.CNP.0233204 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardiac Vision Llc	9032349733	49

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. Mrs Krystal Marie Disantis allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

Entity Name	D.h. Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477855815 PECOS PAC ID: 6103014618 Enrollment ID: O20101228000869

Entity Name	Cardiac Vision Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144651373 PECOS PAC ID: 9032349733 Enrollment ID: O20140225001134

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. Mrs Krystal Marie Disantis 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
Mrs Krystal Marie Disantis, NP-C 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: (305) 500-2000	Mrs Krystal Marie Disantis, NP-C 731 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 Ph: (786) 738-9144

Reviews and Comments

Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885
Debra Dowell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-486-1253
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705
Lyne E Homeus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117 Phone: 386-274-0500
Souad Omri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-615-0900
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105

Mrs Krystal Marie Disantis, NP-C - Medicare Nurse Practitioner in Daytona Beach, FL