Melissa Criscillis, CPNP-AC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Evans, Georgia. Her current practice location is
411 Town Park Blvd, Evans, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 854-2500.
Melissa Criscillis is licensed to practice in Georgia (license number RN180777) 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 1629669452.
Physician's Profile
| Full Name | Melissa Criscillis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 411 Town Park Blvd, Evans, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629669452
- Provider Enumeration Date: 02/03/2021
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315352564
- Enrollment ID: I20210219002237
Medical Identifiers
Medical identifiers for Melissa Criscillis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629669452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | RN180777 (Georgia) | Secondary |
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | RN180777 (Georgia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | RN180777 (Georgia) | 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. Melissa Criscillis allows following entities to bill medicare on her behalf.
| Entity Name | Au Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188 |
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| Entity Name | Wellstar Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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. Melissa Criscillis 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 |
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Melissa Criscillis, CPNP-AC
5050 Fairfield Ct,
Aiken, SC 29801-1006
Ph: (803) 215-9490 | Melissa Criscillis, CPNP-AC
411 Town Park Blvd,
Evans, GA 30809-3487
Ph: (706) 854-2500 |
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