Ms Dorothy Delisfort-crisostomo, FNP-C - Medicare Nurse Practitioner in Tucker, GA

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Ms Dorothy Delisfort-crisostomo, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tucker, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 4228 1st Ave Ste 1, Tucker, Georgia. You can reach out to her office (for appointments etc.) via phone at (833) 583-4778.

Ms Dorothy Delisfort-crisostomo is licensed to practice in Georgia (license number RN141244) 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 1013450816.

Contact Information

Ms Dorothy Delisfort-crisostomo, FNP-C
4228 1st Ave Ste 1,
Tucker, GA 30084-4426
(833) 583-4778
(833) 583-4779

Map and Direction




Provider's Profile

Full NameMs Dorothy Delisfort-crisostomo
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location4228 1st Ave Ste 1, Tucker, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Dorothy Delisfort-crisostomo graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1013450816
  • Provider Enumeration Date: 11/28/2016
  • Last Update Date: 04/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759659667
  • Enrollment ID: I20170623002540

Medical Identifiers

Medical identifiers for Ms Dorothy Delisfort-crisostomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013450816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN141244 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN141244 (Georgia)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. Ms Dorothy Delisfort-crisostomo allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NameU-first Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205375862
PECOS PAC ID: 7315215225
Enrollment ID: O20170619000960

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. Ms Dorothy Delisfort-crisostomo 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 AddressPractice Location Address
Ms Dorothy Delisfort-crisostomo, FNP-C
4228 1st Ave Ste 1,
Tucker, GA 30084-4426

Ph: (833) 583-4778		Ms Dorothy Delisfort-crisostomo, FNP-C
4228 1st Ave Ste 1,
Tucker, GA 30084-4426

Ph: (833) 583-4778

Reviews and Comments


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Practice Location: 4088 Brookside Manor Dr, Tucker, GA 30084
Phone: 770-686-3428    Fax: 770-686-3428

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.