Blaine S Kristo, MD - Medicare Urology in Fernandina Beach, FL

Blaine S Kristo, MD is a medicare enrolled "Urology" physician in Fernandina Beach, Florida. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Urology. He is a member of the group practice Baptist Urology Inc and his current practice location is 1348 S 18th St Ste 230, Fernandina Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 277-2003.

Blaine S Kristo is licensed to practice in Florida (license number ME159017) 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 1124128822.

Contact Information

Blaine S Kristo, MD
1348 S 18th St Ste 230,
Fernandina Beach, FL 32034-4785
(904) 277-2003
(904) 277-2006



Physician's Profile

Full NameBlaine S Kristo
GenderMale
SpecialityUrology
Experience25 Years
Location1348 S 18th St Ste 230, Fernandina Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blaine S Kristo attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1124128822
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486685559
  • Enrollment ID: I20230719003762

Medical Identifiers

Medical identifiers for Blaine S Kristo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124128822NPI-NPPES
0000253955OtherHIHMSA BILLING NUMBER
572702-01MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD-13190 (Hawaii)Secondary
208800000XUrology ME159017 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Accentcare Home Health Of JacksonvilleOrange park, FLHome health agency
Golden Heart Home Health CareOrange park, FLHome health agency
Baptist Medical Center - NassauFernandina beach, FLHospital
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Mercy Medical Center IncBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Urology Inc67090296142

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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. Blaine S Kristo allows following entities to bill medicare on his behalf.
Entity NameBaptist Urology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689011710
PECOS PAC ID: 6709029614
Enrollment ID: O20130826000082

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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. Blaine S Kristo 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
Blaine S Kristo, MD
Po Box 746643,
Atlanta, GA 30374-6643

Ph: (904) 202-1032
Blaine S Kristo, MD
1348 S 18th St Ste 230,
Fernandina Beach, FL 32034-4785

Ph: (904) 277-2003

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Urology Doctors in Fernandina Beach, FL

Kenneth A Son, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1348 S 18th St, Fernandina Beach, FL 32034
Phone: 904-227-2003    Fax: 904-277-2006

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