Erik Dacanay Faustino, FNP-BC in Jacksonville, FL

Erik Dacanay Faustino, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. His current practice location is 2655 Coachman Lakes Dr, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 483-1171.

Erik Dacanay Faustino is licensed to practice in Florida (license number 2023125330) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174392997.

Contact Information

	Erik Dacanay Faustino, FNP-BC
	2655 Coachman Lakes Dr, Jacksonville, FL 32246-1860
	(904) 483-1171
	Not Available

Map and Direction

Provider's Profile

Full Name	Erik Dacanay Faustino
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2655 Coachman Lakes 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: 1174392997
Provider Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4284078817
Enrollment ID: I20240221004421

Medical Identifiers

Medical identifiers for Erik Dacanay Faustino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174392997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2023125330 (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. Erik Dacanay Faustino allows following entities to bill medicare on his behalf.

Entity Name	Palmetto Infusion Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265462659 PECOS PAC ID: 4688578826 Enrollment ID: O20220406002361

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. Erik Dacanay Faustino 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
Erik Dacanay Faustino, FNP-BC 2655 Coachman Lakes Dr, Jacksonville, FL 32246-1860 Ph: (904) 483-1171	Erik Dacanay Faustino, FNP-BC 2655 Coachman Lakes Dr, Jacksonville, FL 32246-1860 Ph: (904) 483-1171

Reviews and Comments

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Erik Dacanay Faustino, FNP-BC - Medicare Nurse Practitioner in Jacksonville, FL