Kristy Anne Pastush, is a
Nurse Practitioner - Family based in Waleska, Georgia. Kristy Anne Pastush is licensed to practice in Georgia (license number RN209718) and her current practice location is
387 Goshen Church Way, Waleska, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 230-9561.
NPI number for Kristy Anne Pastush is 1699530675 and her current mailing address is 387 Goshen Church Way, Waleska, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699530675.
Provider's Profile
| Full Name | Kristy Anne Pastush |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 387 Goshen Church Way, Waleska, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699530675
- Provider Enumeration Date: 02/19/2024
- Last Update Date: 02/19/2024
Medical Identifiers
Medical identifiers for Kristy Anne Pastush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699530675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN209718 (Georgia) | Primary |
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. Kristy Anne Pastush is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristy Anne Pastush,
387 Goshen Church Way,
Waleska, GA 30183-2347
Ph: (912) 230-9561 | Kristy Anne Pastush,
387 Goshen Church Way,
Waleska, GA 30183-2347
Ph: (912) 230-9561 |
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