Mrs Elizabeth Anne Mysliwiec, FNP in Kendallville, IN

Mrs Elizabeth Anne Mysliwiec, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kendallville, Indiana. Her current practice location is 1732 W North St, Kendallville, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 544-8054.

Mrs Elizabeth Anne Mysliwiec is licensed to practice in Indiana (license number 28153761A) 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 1013640200.

Contact Information

	Mrs Elizabeth Anne Mysliwiec, FNP
	1732 W North St, Kendallville, IN 46755-2850
	(260) 544-8054
	(260) 544-8055

Map and Direction

Provider's Profile

Full Name	Mrs Elizabeth Anne Mysliwiec
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1732 W North St, Kendallville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013640200
Provider Enumeration Date: 07/05/2022
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0749624724
Enrollment ID: I20240217000351

Medical Identifiers

Medical identifiers for Mrs Elizabeth Anne Mysliwiec such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013640200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71014932A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	28153761A (Indiana)	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. Mrs Elizabeth Anne Mysliwiec allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491

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. Mrs Elizabeth Anne Mysliwiec 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
Mrs Elizabeth Anne Mysliwiec, FNP 3127 Acorn Ct, Fort Wayne, IN 46814-8913 Ph: (260) 226-5046	Mrs Elizabeth Anne Mysliwiec, FNP 1732 W North St, Kendallville, IN 46755-2850 Ph: (260) 544-8054

Reviews and Comments

Nurse Practitioner Nurses in Kendallville, IN

Alissa Anglemyer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 N Sawyer Rd, Kendallville, IN 46755 Phone: 918-931-0861
Jessica R Ramer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-349-9166 Fax: 260-343-9041
Wendy J Walmsley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-347-8030 Fax: 260-347-8035
Lauren Kay Carlisle, APRN, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1732 W North St, Kendallville, IN 46755 Phone: 931-253-1110
Mrs. Barbara Ann Chivers, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1844 Ida Red Rd, Kendallville, IN 46755 Phone: 260-347-8810
Connie S. Cole, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5900 E 500 N, Kendallville, IN 46755 Phone: 260-349-8185

Mrs Elizabeth Anne Mysliwiec, FNP - Medicare Nurse Practitioner in Kendallville, IN