Mr John Myron Faircloth, NP in Crestview, FL - Medicare Nurse Practitioner

Mr John Myron Faircloth, NP is a medicare enrolled "Nurse Practitioner - Family" in Crestview, Florida. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Crestview Hospital Company Llc and his current practice location is 127 E Redstone Ave Ste C, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 423-0061.

Mr John Myron Faircloth is licensed to practice in Florida (license number ARNP9470257) 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 1063543890.

Contact Information

	Mr John Myron Faircloth, NP
	127 E Redstone Ave Ste C, Crestview, FL 32539-5356
	(850) 423-0061
	(850) 423-9954

Map and Direction

Provider's Profile

Full Name	Mr John Myron Faircloth
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	127 E Redstone Ave Ste C, Crestview, Florida
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:

Mr John Myron Faircloth graduated from nursing school in 2011

NPI Data:

NPI Number: 1063543890
Provider Enumeration Date: 03/07/2007
Last Update Date: 09/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9537144795
Enrollment ID: I20180601001503

Medical Identifiers

Medical identifiers for Mr John Myron Faircloth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063543890	NPI	-	NPPES
000946547B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0103219 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP9470257 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gulf Coast Home Health	Crestview, FL	Home health agency
Kindred At Home	Fort walton beach, FL	Home health agency
Vitas Healthcare Corporation Of Florida	Melbourne, FL	Hospice
North Okaloosa Medical Center	Crestview, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crestview Hospital Company Llc	3678472313	3

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. Mr John Myron Faircloth allows following entities to bill medicare on his behalf.

Entity Name	Crestview Hospital Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861441057 PECOS PAC ID: 3678472313 Enrollment ID: O20040123000275

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. Mr John Myron Faircloth 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
Mr John Myron Faircloth, NP 550 Redstone Ave W Ste 460, Crestview, FL 32536-6428 Ph: (205) 454-2022	Mr John Myron Faircloth, NP 127 E Redstone Ave Ste C, Crestview, FL 32539-5356 Ph: (850) 423-0061

Reviews and Comments

Nurse Practitioner Nurses in Crestview, FL

Mrs. Leslie Ann Rossley, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555
Adam C Hargis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 E Redstone Ave, Crestview, FL 32539 Phone: 859-669-8100
Sarah Stone, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4625 Scarlet Dr E, Crestview, FL 32539 Phone: 573-673-1328
Mrs. Michelle Therese Koski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 E James Lee Blvd, Crestview, FL 32539 Phone: 850-682-1002
Ms. Kelley Michelle Coone, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 E Redstone Ave, Crestview, FL 32539 Phone: 850-398-8725
Mrs. Connie Rhoades Killam, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 596 N Ferdon Blvd, Crestview, FL 32536 Phone: 850-306-3268 Fax: 850-398-5029
Katelyn Elizabeth Sowinski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 129 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 850-682-7212

Mr John Myron Faircloth, NP - Medicare Nurse Practitioner in Crestview, FL