Kristopher Erick Medina, in Paoli, PA - Medicare Nurse Practitioner

Kristopher Erick Medina, is a medicare enrolled "Nurse Practitioner - Family" in Paoli, Pennsylvania. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jefferson University Physicians and his current practice location is 21 Industrial Blvd, Suite 205, Paoli, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 647-8000.

Kristopher Erick Medina is licensed to practice in Pennsylvania (license number SP014662) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124416185.

Contact Information

	Kristopher Erick Medina,
	21 Industrial Blvd, Suite 205, Paoli, PA 19301-1610
	(610) 647-8000
	(610) 647-6394

Map and Direction

Provider's Profile

Full Name	Kristopher Erick Medina
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	21 Industrial Blvd, Paoli, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristopher Erick Medina graduated from nursing school in 2014

NPI Data:

NPI Number: 1124416185
Provider Enumeration Date: 12/29/2014
Last Update Date: 10/13/2015

Medicare PECOS Information:

PECOS PAC ID: 7810213303
Enrollment ID: I20150227000217

Medical Identifiers

Medical identifiers for Kristopher Erick Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124416185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP014662 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas Jefferson University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson University Physicians	7911819180	1273

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. Kristopher Erick Medina allows following entities to bill medicare on his behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

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. Kristopher Erick Medina 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
Kristopher Erick Medina, 21 Industrial Blvd, Suite 205, Paoli, PA 19301-1610 Ph: (610) 647-8000	Kristopher Erick Medina, 21 Industrial Blvd, Suite 205, Paoli, PA 19301-1610 Ph: (610) 647-8000

Reviews and Comments

Nurse Practitioner Nurses in Paoli, PA

Jamie L Dillinger, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Industrial Blvd, Suite 101, Paoli, PA 19301 Phone: 610-251-0300 Fax: 610-251-0304
Mrs. Lynn B Wolff, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1600 Fax: 610-647-2006
Angela Foster, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 E Lancaster Ave, Paoli, PA 19301 Phone: 610-647-4366
Elizabeth Wray, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 S Valley Rd Ste 101, Paoli, PA 19301 Phone: 267-553-5063
Hayley Suzann Swanson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Industrial Blvd Ste 103, Paoli, PA 19301 Phone: 610-786-3200
Holly Marks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1000
Kelly N Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Industrial Blvd Ste 200, Paoli, PA 19301 Phone: 610-647-2400 Fax: 610-647-3902

Kristopher Erick Medina, - Medicare Nurse Practitioner in Paoli, PA