Kristina K Glick, RN in Kokomo, IN - Medicare Nurse Practitioner

Kristina K Glick, RN is a medicare enrolled "Nurse Practitioner" in Kokomo, Indiana. Her current practice location is 3118 S Lafountain St, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 864-4160.

Kristina K Glick is licensed to practice in Indiana (license number 71003254) 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 1154647634.

Contact Information

	Kristina K Glick, RN
	3118 S Lafountain St, Kokomo, IN 46902-3710
	(765) 864-4160
	(765) 400-4467

Map and Direction

Provider's Profile

Full Name	Kristina K Glick
Gender	Female
Speciality	Nurse Practitioner
Location	3118 S Lafountain St, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154647634
Provider Enumeration Date: 04/09/2010
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7517081375
Enrollment ID: I20100831000317

Medical Identifiers

Medical identifiers for Kristina K Glick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154647634	NPI	-	NPPES
200991290	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28148252A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71003254 (Indiana)	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. Kristina K Glick allows following entities to bill medicare on her behalf.

Entity Name	Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710932736 PECOS PAC ID: 0840184164 Enrollment ID: O20040209000976

Entity Name	Indiana Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159

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. Kristina K Glick 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
Kristina K Glick, RN 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335	Kristina K Glick, RN 3118 S Lafountain St, Kokomo, IN 46902-3710 Ph: (765) 864-4160

Reviews and Comments

Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160

Kristina K Glick, RN - Medicare Nurse Practitioner in Kokomo, IN