Dr Carissa J Kostecki, MD in Jacksonville, FL

Dr Carissa J Kostecki, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Jacksonville, Florida. Her current practice location is 800 Prudential Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 396-5682.

Dr Carissa J Kostecki is licensed to practice in Florida (license number ME85233) 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 1720006828.

Contact Information

	Dr Carissa J Kostecki, MD
	800 Prudential Dr, Jacksonville, FL 32207-8202
	(904) 396-5682
	(904) 346-0864

Map and Direction

Physician's Profile

Full Name	Dr Carissa J Kostecki
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	800 Prudential Dr, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720006828
Provider Enumeration Date: 07/17/2006
Last Update Date: 04/17/2008

Medicare PECOS Information:

PECOS PAC ID: 6406846773
Enrollment ID: I20040517001614

Medical Identifiers

Medical identifiers for Dr Carissa J Kostecki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720006828	NPI	-	NPPES
265150500	Medicaid	FL
29056	Other	FL	BCBS
000960352A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	ME85233 (Florida)	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. Dr Carissa J Kostecki allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673

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. Dr Carissa J Kostecki 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
Dr Carissa J Kostecki, MD 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 Ph: (904) 396-5682	Dr Carissa J Kostecki, MD 800 Prudential Dr, Jacksonville, FL 32207-8202 Ph: (904) 396-5682

Reviews and Comments

Pediatrics Doctors in Jacksonville, FL

Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994

Dr Carissa J Kostecki, MD - Medicare Pediatrics in Jacksonville, FL