Dr Kristen L Paulus, MD - Medicare Internal Medicine in Sarasota, FL

Dr Kristen L Paulus, MD is a medicare enrolled "Internal Medicine" physician in Sarasota, Florida. She went to State University Of New York At Buffalo School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Smh Physician Services Inc and her current practice location is 5880 Rand Blvd Ste 200, Sarasota, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 917-2300.

Dr Kristen L Paulus is licensed to practice in Florida (license number ME73853) 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 1639168628.

Contact Information

Dr Kristen L Paulus, MD
5880 Rand Blvd Ste 200,
Sarasota, FL 34238-5118
(941) 917-2300
(941) 923-1453

Map and Direction




Physician's Profile

Full NameDr Kristen L Paulus
GenderFemale
SpecialityInternal Medicine
Experience31 Years
Location5880 Rand Blvd Ste 200, Sarasota, 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:
  • Dr Kristen L Paulus attended and graduated from State University Of New York At Buffalo School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1639168628
  • Provider Enumeration Date: 10/21/2005
  • Last Update Date: 03/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436293776
  • Enrollment ID: I20100224000436

Medical Identifiers

Medical identifiers for Dr Kristen L Paulus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639168628NPI-NPPES
253249200MedicaidFL
42492OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME73853 (Florida)Secondary
207R00000XInternal Medicine ME73853 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fusion HealthcareSarasota, FLHome health agency
Sarasota Memorial HospitalSarasota, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smh Physician Services Inc1355240177601

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 Kristen L Paulus allows following entities to bill medicare on her behalf.
Entity NameSmh Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346295292
PECOS PAC ID: 1355240177
Enrollment ID: O20031231000211

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 Kristen L Paulus 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
Dr Kristen L Paulus, MD
Po Box 863407,
Orlando, FL 32886-3407

Ph: (941) 917-2600
Dr Kristen L Paulus, MD
5880 Rand Blvd Ste 200,
Sarasota, FL 34238-5118

Ph: (941) 917-2300

Reviews and Comments


Internal Medicine Doctors in Sarasota, FL

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Dr. Stephen C Culp, MD
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Dr. Suzanne R Lutton, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 5951 Cattleridge Ave Ste 100, Sarasota, FL 34232
Phone: 941-379-1850    Fax: 941-379-1855

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.