Mrs Kristin L Eversole, ARNP is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" in Jacksonville, Florida. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nautilus Health Care Group Llc and her current practice location is
5220 Belfort Rd, Ste 130, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 446-3451.
Mrs Kristin L Eversole is licensed to practice in Florida (license number ARNP2649042) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679660567.
Provider's Profile
| Full Name | Mrs Kristin L Eversole |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 26 Years |
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| Location | 5220 Belfort Rd, Jacksonville, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kristin L Eversole graduated from nursing school in 1998
NPI Data:
- NPI Number: 1679660567
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 04/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466585708
- Enrollment ID: I20100806000172
Medical Identifiers
Medical identifiers for Mrs Kristin L Eversole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679660567 | NPI | - | NPPES |
| 003127800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WW0000X | Registered Nurse - Wound Care | ARNP2649042 (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 2649042 (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ARNP 2649042 (Florida) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ARNP2649042 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nautilus Health Care Group Llc | 5991604852 | 44 |
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 Kristin L Eversole allows following entities to bill medicare on her behalf.
| Entity Name | Nautilus Health Care Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912013558
PECOS PAC ID: 5991604852
Enrollment ID: O20040108000803 |
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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 Kristin L Eversole 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 |
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Mrs Kristin L Eversole, ARNP
5220 Belfort Rd, Ste 130,
Jacksonville, FL 32256-6017
Ph: (904) 446-3451 | Mrs Kristin L Eversole, ARNP
5220 Belfort Rd, Ste 130,
Jacksonville, FL 32256-6017
Ph: (904) 446-3451 |
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