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Karin Prussak

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Karin Prussak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1114918208
Provider Type
Individual
Full Name
Prussak, Karin
Credential
DNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/29/2005
Last Updated
9/1/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP1599302 Florida

Karin Prussak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Inabinett, Samantha R

Romecki, Bree Z Brasch

Weinert, Danielle Suzanne

Pella, Lisa Phillips

Rogers, Emily Rose

Mason, Terri Lynne

Ryland, Kristen

Daynega, Anatoliy

Barber, Melinda

Cardona, Kathryn