Gisselle Van Etten, in Winter Garden, FL - Medicare Nurse Practitioner

Gisselle Van Etten, is a medicare enrolled "Nurse Practitioner - Family" in Winter Garden, Florida. Her current practice location is 530 Spring Leap Cir, Winter Garden, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 988-9393.

Gisselle Van Etten is licensed to practice in Florida (license number 11015464) 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 1235809476.

Contact Information

	Gisselle Van Etten,
	530 Spring Leap Cir, Winter Garden, FL 34787-5298
	(407) 988-9393
	Not Available

Map and Direction

Provider's Profile

Full Name	Gisselle Van Etten
Gender	Female
Speciality	Nurse Practitioner - Family
Location	530 Spring Leap Cir, Winter Garden, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235809476
Provider Enumeration Date: 09/19/2021
Last Update Date: 09/19/2021

Medicare PECOS Information:

PECOS PAC ID: 4284007279
Enrollment ID: I20230222000205

Medical Identifiers

Medical identifiers for Gisselle Van Etten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235809476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11015464 (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. Gisselle Van Etten allows following entities to bill medicare on her behalf.

Entity Name	Lakota Wellness, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396070041 PECOS PAC ID: 9234277203 Enrollment ID: O20091111000584

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. Gisselle Van Etten 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
Gisselle Van Etten, 530 Spring Leap Cir, Winter Garden, FL 34787-5298 Ph: (407) 988-9393	Gisselle Van Etten, 530 Spring Leap Cir, Winter Garden, FL 34787-5298 Ph: (407) 988-9393

Reviews and Comments

Nurse Practitioner Nurses in Winter Garden, FL

Raconda Hibbard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 Courtlea Oaks Blvd, Winter Garden, FL 34787 Phone: 407-432-3333
Sherry Roberts, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15544 W Colonial Dr, Winter Garden, FL 34787 Phone: 352-431-3940
Joanna Hoffman, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1991 Daniels Rd, Winter Garden, FL 34787 Phone: 407-395-3770 Fax: 407-395-3779
Kalindi Premila Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15835 Shaddock Dr Ste 130, Winter Garden, FL 34787 Phone: 312-888-2986
Mrs. Lauren Ashley Schneider, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 912 Butter Oaks Ct, Winter Garden, FL 34787 Phone: 338-656-6562 Fax: 844-339-2908
Mrs. Sara Michelle Meadows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5730 Hamlin Groves Trl Ste 164, Winter Garden, FL 34787 Phone: 407-347-7052
Elizabeth Orlando, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 S Lakeview Ave, Winter Garden, FL 34787 Phone: 407-761-9263

Gisselle Van Etten, - Medicare Nurse Practitioner in Winter Garden, FL