Mr Nino Anthony Fajardo, AGACNP-BC in Land O Lakes, FL

Mr Nino Anthony Fajardo, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Land O Lakes, Florida. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sage Infusion, Llc, University Medical Service Association Inc and his current practice location is 24323 Painter Dr, Land O Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 409-8812.

Mr Nino Anthony Fajardo is licensed to practice in Florida (license number 11014439) 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 1174265268.

Contact Information

	Mr Nino Anthony Fajardo, AGACNP-BC
	24323 Painter Dr, Land O Lakes, FL 34639-5459
	(863) 409-8812
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nino Anthony Fajardo
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	24323 Painter Dr, Land O Lakes, 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 Nino Anthony Fajardo graduated from nursing school in 2021

NPI Data:

NPI Number: 1174265268
Provider Enumeration Date: 04/10/2022
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4880073220
Enrollment ID: I20220615002268

Medical Identifiers

Medical identifiers for Mr Nino Anthony Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174265268	NPI	-	NPPES
2B2SJ	Other	FL	BCBS
114149900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	11014439 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tampa General Hospital	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sage Infusion, Llc	1254660467	22
University Medical Service Association Inc	6800790221	583

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 Nino Anthony Fajardo allows following entities to bill medicare on his behalf.

Entity Name	University Medical Service Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130

Entity Name	Florida Kidney Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760831564 PECOS PAC ID: 4385925650 Enrollment ID: O20161228000460

Entity Name	Sage Infusion, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013578442 PECOS PAC ID: 1254660467 Enrollment ID: O20190913001321

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 Nino Anthony Fajardo 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 Nino Anthony Fajardo, AGACNP-BC Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038	Mr Nino Anthony Fajardo, AGACNP-BC 24323 Painter Dr, Land O Lakes, FL 34639-5459 Ph: (863) 409-8812

Reviews and Comments

Nurse Practitioner Nurses in Land O Lakes, FL

Mrs. Jessilyn Emma Perez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3742 Tristram Loop, Land O Lakes, FL 34638 Phone: 813-453-8258
Lacey Nixon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5904 Desert Peace Ave, Land O Lakes, FL 34639 Phone: 813-766-3950
Mrs. Holly Marie Boyd, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638 Phone: 813-949-2950 Fax: 813-949-2924
Alon Padraig Corrigan, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22150 Bell Harbor Dr, Land O Lakes, FL 34639 Phone: 813-395-4596
Brian Goldich, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4111 Land O Lakes Blvd, Land O Lakes, FL 34639 Phone: 813-929-2750
Erika Schaefer Meier, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2061 Collier Parkway, Land O Lakes, FL 34639 Phone: 800-561-4883 Fax: 727-569-0490
Laura J Szydlowski, MS, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Via Bella Blvd, Suite 202, Land O Lakes, FL 34639 Phone: 813-929-3516 Fax: 813-355-5046

Mr Nino Anthony Fajardo, AGACNP-BC - Medicare Nurse Practitioner in Land O Lakes, FL