Tatiana Kisluk, DNP in Fountainville, PA - Medicare Nurse Practitioner

Tatiana Kisluk, DNP is a medicare enrolled "Nurse Practitioner - Family" in Fountainville, Pennsylvania. Her current practice location is 5039 Swamp Rd Ste 401, Fountainville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 230-8380.

Tatiana Kisluk is licensed to practice in Pennsylvania (license number SP014012) 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 1649673641.

Contact Information

	Tatiana Kisluk, DNP
	5039 Swamp Rd Ste 401, Fountainville, PA 18923-9663
	(215) 230-8380
	(215) 230-8370

Map and Direction

Provider's Profile

Full Name	Tatiana Kisluk
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5039 Swamp Rd Ste 401, Fountainville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649673641
Provider Enumeration Date: 10/03/2014
Last Update Date: 05/02/2025

Medicare PECOS Information:

PECOS PAC ID: 1153543798
Enrollment ID: I20141114000239

Medical Identifiers

Medical identifiers for Tatiana Kisluk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649673641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4036583 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	SP014012 (Pennsylvania)	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. Tatiana Kisluk allows following entities to bill medicare on her behalf.

Entity Name	Hospital Medicine Services Of Maine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538638432 PECOS PAC ID: 1759621469 Enrollment ID: O20190315001380

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. Tatiana Kisluk 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
Tatiana Kisluk, DNP Po Box 417, Fountainville, PA 18923-0417 Ph: (215) 230-8380	Tatiana Kisluk, DNP 5039 Swamp Rd Ste 401, Fountainville, PA 18923-9663 Ph: (215) 230-8380

Reviews and Comments

Nurse Practitioner Nurses in Fountainville, PA

Mrs. Katherine Marie West Mohr, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380
Rachel Im, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 406, Fountainville, PA 18923 Phone: 267-454-7147
Margaret Welch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380
Diane Blackman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370
Tara Lynn Verdolini, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1456 Ferry Road, Suite 600, Fountainville, PA 18923 Phone: 215-230-8390 Fax: 215-230-8392
Rene Curry, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd, Suite 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370

Tatiana Kisluk, DNP - Medicare Nurse Practitioner in Fountainville, PA