Ms Crystal Dejesus, PA-C - Medicare Physician Assistant in Mount Dora, FL

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Ms Crystal Dejesus, PA-C is a medicare enrolled "Physician Assistant" in Mount Dora, Florida. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Adventhealth Primary Care Network Inc and her current practice location is 19735 Us Highway 441 Fl 1, Mount Dora, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 735-5700.

Ms Crystal Dejesus is licensed to practice in Florida (license number PA9106616) 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 1063775765.

Contact Information

Ms Crystal Dejesus, PA-C
19735 Us Highway 441 Fl 1,
Mount Dora, FL 32757-2204
(352) 735-5700
(352) 735-5701

Map and Direction




Provider's Profile

Full NameMs Crystal Dejesus
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location19735 Us Highway 441 Fl 1, Mount Dora, Florida
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:
  • Ms Crystal Dejesus graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1063775765
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 09/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800020579
  • Enrollment ID: I20131011000943

Medical Identifiers

Medical identifiers for Ms Crystal Dejesus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063775765NPI-NPPES
PA9106616OtherFLLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9106616 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth WatermanTavares, FLHospital
Adventhealth Daytona BeachDaytona beach, FLHospital
Adventhealth OrlandoOrlando, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventhealth Primary Care Network Inc1557722410428

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 Crystal Dejesus allows following entities to bill medicare on her behalf.
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807
Entity NameStages of Life Medical Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790968485
PECOS PAC ID: 6305826215
Enrollment ID: O20040721001619
Entity NamePrimary Care of Central Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205903432
PECOS PAC ID: 8628094018
Enrollment ID: O20051014000365
Entity NameVmd Primary Providers Central Florida PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134738974
PECOS PAC ID: 2860806197
Enrollment ID: O20210128001072
Entity NameAdventhealth Primary Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093493637
PECOS PAC ID: 1557722410
Enrollment ID: O20230725004134

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 Crystal Dejesus 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
Ms Crystal Dejesus, PA-C
7620 Lake Underhill Rd,
Orlando, FL 32822-8223

Ph: (321) 235-0692		Ms Crystal Dejesus, PA-C
19735 Us Highway 441 Fl 1,
Mount Dora, FL 32757-2204

Ph: (352) 735-5700

Reviews and Comments


Physician Assistant Nurses in Mount Dora, FL

Kathlyn Lorge, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19015 Us Highway 441, Mount Dora, FL 32757
Phone: 352-383-3484    
Mr. Sung Kim, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 18550 Us Highway 441, Ste A, Mount Dora, FL 32757
Phone: 352-735-3755    Fax: 352-314-1942
Annette Suzanne Murphy, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2060 N Donnelly St, Mount Dora, FL 32757
Phone: 407-846-7546    Fax: 321-206-5419
Kailey Koontz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16890 Us Highway 441, Mount Dora, FL 32757
Phone: 352-729-2514    Fax: 352-729-2613
Sarah Katherine Yoho, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17521 Us Highway 441 Ste 21, Mount Dora, FL 32757
Phone: 813-321-1786    Fax: 813-321-1787
Mr. Robert A Walther, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 250 East Fourth Avenue, Mount Dora, FL 32757
Phone: 352-735-1400    Fax: 352-735-3300
Neeta Harshavardhan Mauskar, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757
Phone: 352-735-3755    Fax: 352-735-3151

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.