Katherine Puisis, APRN in Lakeland, FL - Medicare Nurse Practitioner

Katherine Puisis, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lakeland, Florida. Her current practice location is 2300 E County Road 540a, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 647-8012.

Katherine Puisis is licensed to practice in Florida (license number APRN11022855) 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 1508571332.

Contact Information

	Katherine Puisis, APRN
	2300 E County Road 540a, Lakeland, FL 33813-3825
	(863) 647-8012
	(866) 264-8519

Map and Direction

Provider's Profile

Full Name	Katherine Puisis
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2300 E County Road 540a, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508571332
Provider Enumeration Date: 01/17/2023
Last Update Date: 04/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6901241553
Enrollment ID: I20240305002354

Medical Identifiers

Medical identifiers for Katherine Puisis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508571332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	APRN11022855 (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. Katherine Puisis allows following entities to bill medicare on her behalf.

Entity Name	Watson Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113

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. Katherine Puisis 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
Katherine Puisis, APRN 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000	Katherine Puisis, APRN 2300 E County Road 540a, Lakeland, FL 33813-3825 Ph: (863) 647-8012

Reviews and Comments

Nurse Practitioner Nurses in Lakeland, FL

Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881
Jennifer Frasier, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-607-9776
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387
Reanna Maxwell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 Edgewood Dr S, Lakeland, FL 33803 Phone: 863-232-4323 Fax: 863-337-5728
Anjali Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519

Katherine Puisis, APRN - Medicare Nurse Practitioner in Lakeland, FL