Selena Crandall, ARNP in Ruskin, FL - Medicare Nurse Practitioner

Selena Crandall, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Ruskin, Florida. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Florida Medical Clinic Llc and her current practice location is 3860 Sun City Center Blvd, Ruskin, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 633-1980.

Selena Crandall is licensed to practice in Florida (license number ARNP9238210) 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 1043635675.

Contact Information

	Selena Crandall, ARNP
	3860 Sun City Center Blvd, Ruskin, FL 33573-6806
	(813) 633-1980
	(813) 355-5104

Map and Direction

Provider's Profile

Full Name	Selena Crandall
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	3860 Sun City Center Blvd, Ruskin, 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:

Selena Crandall graduated from nursing school in 2013

NPI Data:

NPI Number: 1043635675
Provider Enumeration Date: 02/18/2014
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6709107352
Enrollment ID: I20150608001280

Medical Identifiers

Medical identifiers for Selena Crandall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043635675	NPI	-	NPPES
014924000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9238210 (Florida)	Primary
363L00000X	Nurse Practitioner	APRN9238210 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Josephs Hospital	Tampa, FL	Hospital
South Bay Hospital	Sun city center, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Medical Clinic Llc	9931003068	368

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. Selena Crandall allows following entities to bill medicare on her behalf.

Entity Name	Florida Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962

Entity Name	Blue Ocean Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992045272 PECOS PAC ID: 3779729603 Enrollment ID: O20130423000030

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. Selena Crandall 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
Selena Crandall, ARNP 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 528-4975	Selena Crandall, ARNP 3860 Sun City Center Blvd, Ruskin, FL 33573-6806 Ph: (813) 633-1980

Reviews and Comments

Nurse Practitioner Nurses in Ruskin, FL

Nicole O'connor, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10113 Count Fleet Dr, Ruskin, FL 33573 Phone: 813-362-9588
Michelle Gordon Troyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 Cypress Village Blvd, Ruskin, FL 33573 Phone: 813-633-6121 Fax: 866-264-8519
Amorcita Madridondo Dougherty, A.R. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 E College Ave, Ruskin, FL 33570 Phone: 813-331-3940 Fax: 813-331-3941
Maricar C Cal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2814 14th Ave Se, Ruskin, FL 33570 Phone: 813-361-1658
Devin Cedric Warfield, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1740 Bonita Bluff Ct, Ruskin, FL 33570 Phone: 904-861-5711
Mr. Craig Jorden Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 Shell Manor Dr, Ruskin, FL 33570 Phone: 813-497-0497 Fax: 949-863-5134

Selena Crandall, ARNP - Medicare Nurse Practitioner in Ruskin, FL