Lynda Justilien-petty, APRN, FNP-BC in Jacksonville, FL

Lynda Justilien-petty, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 580 8th St. W, Tower 1, 9th Floor, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 383-1022.

Lynda Justilien-petty is licensed to practice in Florida (license number APRN11026937) 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 1902586761.

Contact Information

	Lynda Justilien-petty, APRN, FNP-BC
	580 8th St. W, Tower 1, 9th Floor, Jacksonville, FL 32209
	(904) 383-1022
	Not Available

Map and Direction

Provider's Profile

Full Name	Lynda Justilien-petty
Gender	Female
Speciality	Nurse Practitioner - Family
Location	580 8th St. W, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902586761
Provider Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4880058726
Enrollment ID: I20230912000969

Medical Identifiers

Medical identifiers for Lynda Justilien-petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902586761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	APRN11026937 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11026937 (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. Lynda Justilien-petty allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Lynda Justilien-petty 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
Lynda Justilien-petty, APRN, FNP-BC 373 Hepburn Rd, Orange Park, FL 32065-5639 Ph: (904) 483-1206	Lynda Justilien-petty, APRN, FNP-BC 580 8th St. W, Tower 1, 9th Floor, Jacksonville, FL 32209 Ph: (904) 383-1022

Reviews and Comments

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Lynda Justilien-petty, APRN, FNP-BC - Medicare Nurse Practitioner in Jacksonville, FL