Cristina Elizabet Hermosillo, PA-C - Medicare Physician Assistant in Kokomo, IN

Cristina Elizabet Hermosillo, PA-C is a medicare enrolled "Physician Assistant - Medical" in Kokomo, Indiana. Her current practice location is 3118 S Lafountain St, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 864-4160.

Cristina Elizabet Hermosillo is licensed to practice in Indiana (license number 10004249A) 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 1104607738.

Contact Information

Cristina Elizabet Hermosillo, PA-C
3118 S Lafountain St,
Kokomo, IN 46902-3710
(765) 864-4160
(765) 400-4467



Provider's Profile

Full NameCristina Elizabet Hermosillo
GenderFemale
SpecialityPhysician Assistant - Medical
Location3118 S Lafountain St, Kokomo, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104607738
  • Provider Enumeration Date: 10/10/2023
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507219300
  • Enrollment ID: I20240129001761

Medical Identifiers

Medical identifiers for Cristina Elizabet Hermosillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104607738NPI-NPPES
300085790MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 10004249A (Indiana)Primary

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. Cristina Elizabet Hermosillo 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
Cristina Elizabet Hermosillo, PA-C
8003 Castleway Dr,
Indianapolis, IN 46250-1946

Ph: (317) 576-1335
Cristina Elizabet Hermosillo, PA-C
3118 S Lafountain St,
Kokomo, IN 46902-3710

Ph: (765) 864-4160

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Physician Assistant Nurses in Kokomo, IN

Miss Courtney Nicole Schroeder, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1907 W Sycamore St # 200, Kokomo, IN 46901
Phone: 765-236-8170    
Kaylin Kultgen,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3500 S Lafountain St, Kokomo, IN 46902
Phone: 765-453-0702    
Addison Schwaller,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1907 W Sycamore St, Kokomo, IN 46901
Phone: 765-456-5611    
Ms. Nicole Marie Kuhlman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1765 E Lincoln Rd, Kokomo, IN 46902
Phone: 765-236-8380    
Morgan D Fetters, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2330 S Dixon Rd, Kokomo, IN 46902
Phone: 765-455-5400    Fax: 765-865-3710
John Thomas, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 821 N Dixon Rd, Kokomo, IN 46901
Phone: 765-452-0878    Fax: 765-452-1826

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