Larry Van Thomas Crisco, MD in Jacksonville, FL - Medicare Interventional Cardiology

Larry Van Thomas Crisco, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Jacksonville, Florida. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice First Coast Heart And Vascular Center, Pa and his current practice location is 3901 University Blvd S, Suite 221, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 423-0010.

Larry Van Thomas Crisco is licensed to practice in Florida (license number ME115672) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952395782.

Contact Information

	Larry Van Thomas Crisco, MD
	3901 University Blvd S, Suite 221, Jacksonville, FL 32216-4392
	(904) 423-0010
	(904) 423-0012

Map and Direction

Physician's Profile

Full Name	Larry Van Thomas Crisco
Gender	Male
Speciality	Interventional Cardiology
Experience	33 Years
Location	3901 University Blvd S, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larry Van Thomas Crisco attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1991

NPI Data:

NPI Number: 1952395782
Provider Enumeration Date: 09/08/2005
Last Update Date: 08/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2668569542
Enrollment ID: I20130823000908

Medical Identifiers

Medical identifiers for Larry Van Thomas Crisco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952395782	NPI	-	NPPES
000777686G	Medicaid	GA
58-1624987	Other	GA	TAX ID#
1952395782	Other		NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	038457 (Georgia)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	ME115672 (Florida)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	38457 (Georgia)	Secondary
207UN0901X	Nuclear Medicine - Nuclear Cardiology	38457 (Georgia)	Secondary
207UN0902X	Nuclear Medicine - Nuclear Imaging & Therapy	38457 (Georgia)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	ME115672 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Flagler Hospital	Saint augustine, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Coast Heart And Vascular Center, Pa	0446404859	23

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. Larry Van Thomas Crisco allows following entities to bill medicare on his behalf.

Entity Name	Cardiology Interpreters Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477887149 PECOS PAC ID: 7911033220 Enrollment ID: O20100325000778

Entity Name	First Coast Heart & Vascular Center, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366795742 PECOS PAC ID: 0446404859 Enrollment ID: O20130213000224

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. Larry Van Thomas Crisco 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
Larry Van Thomas Crisco, MD 3901 University Blvd S, Suite 221, Jacksonville, FL 32216-4392 Ph: (904) 423-0010	Larry Van Thomas Crisco, MD 3901 University Blvd S, Suite 221, Jacksonville, FL 32216-4392 Ph: (904) 423-0010

Reviews and Comments

Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Larry Van Thomas Crisco, MD - Medicare Interventional Cardiology in Jacksonville, FL