Dr. Sen sees adults 60 and older for first sessions and medication reviews, in the office and by video. He goes through every bottle with you, one at a time, and says why before he changes anything.
Psychiatry for older adults and their families
Time to listen, and room for your family on the call
Crest is two prescribers on Cape Coral Parkway. Visits are long enough to talk, one medicine changes at a time, and a daughter, a son or a friend can join from anywhere by video or phone.
The space
Two chairs, a desk, and a screen for your family
The consulting room is quiet, with the lights low and the door closed. The laptop on the desk is how a family member joins by video.
Sample photos.
Care
Four kinds of visit, each with one job
Crest sees adults 60 and older, and the people who help look after them.
Your first session
Sixty minutes. Your history, every medicine you take, and what you want to be different. Nothing is prescribed until we have talked.
About the first sessionMedication reviews
Thirty minutes, on a schedule. One change at a time, a date to look again, and your pharmacy's list checked against ours.
About reviewsVideo visits
From your own chair, anywhere in Florida. A link we send you, large buttons, and a phone call if the internet is down.
About video visitsFamily on the call
A son in Ohio, a daughter across town, a friend who drives. They join by video or phone, with your say-so.
About family on the call
Who is in the visit
Alone, with family on the call, or with family in the room
You decide, each time, and you can change your mind in the middle of a visit.
| At a glance | On your own | Family on video or phone | Family in the room |
|---|---|---|---|
| Who it suits | On your ownYou would rather talk with your prescriber alone | Family on video or phoneA son or daughter lives far away, or you want help remembering what was said | Family in the roomSomeone drives you and sits beside you |
| What we ask first | On your ownNothing beyond the usual forms | Family on video or phoneYour written permission, which you can change at any time | Family in the roomYour permission, in the room, before they sit in |
| Who speaks | On your ownYou do | Family on video or phoneYou do first; your family adds what they have noticed | Family in the roomYou do first; your family adds what they have noticed |
| Where your family is | On your ownNot needed | Family on video or phoneAnywhere, in any state | Family in the roomIn the office with you |
| What we send afterward | On your ownYour large-print summary goes to you | Family on video or phoneIt goes to you, and to them only if you say so | Family in the roomIt goes to you, and to them only if you say so |
How it works
From first call to first visit
Four steps, and nothing to fill in online first.
- 01
Call or write
Call the office or send a message. Leave medical details out; those come in person.
- 02
We check your coverage
We look at your Medicare and any plan you have, and tell you what we find before the visit.
- 03
Choose who comes
Pick a time on the scheduling page, here or by video, and tell us who, if anyone, should join you.
- 04
Come for sixty minutes
Bring every bottle in a bag. You leave with a plan, a date for the next visit, and a large-print summary.
Prescribers
Two prescribers, one policy
Each license is listed at the foot of every page, with the board that issued it.
Arcelia Soto
Psychiatric-mental health nurse practitioner
- Advanced practice registered nurse, psychiatric-mental health nurse practitioner · FL Lic. # 000000
Arcelia sees adults 60 and older and often meets their families by video. She sees patients in English and in Spanish, and keeps the visit at the pace you set.
Book
Choose a time for your first session
The scheduling page is on our own portal. If you would rather talk first, call us.
Phone(239) 555-0104
Hours
- Monday – ThursdayToday
- 8 a.m. – 5 p.m.
- FridayToday
- 8 a.m. – 12 p.m.
- Saturday and SundayToday
- Closed
Where we see people
In the office from across Lee County, by video from anywhere in Florida
A video visit needs you to be in Florida when it happens, because that is where we are licensed. If you winter here, that means the months you are here.
Near the office
- Cape Coral
- Matlacha
- Pine Island
- North Fort Myers
- Bokeelia
A longer drive, or by video
- Lehigh Acres
- Fort Myers Beach
- Sanibel
- St. James City
- Alva
Anywhere else in Florida, we see you by video. Outside Florida we cannot treat you while you are there, but we can see you again when you are back.
Prescribing policy
How we change a medicine
A short policy, the same for every patient and both prescribers.
- No prescription before an evaluation, and none from a message alone
- One change at a time, so you and your prescriber can tell what each change did
- Every change has a date to look again, written in your summary
- You are told what to watch for, and whom to call, before you leave
- A medicine is lowered or stopped only with your prescriber, never on your own
How fees work
The questions nearly everyone asks before a first visit, answered plainly. No fee is quoted here; yours is given in writing.
Insurance we work with
Crest bills Medicare Part B for first sessions and medication reviews, and for video visits where your plan allows them. We also bill many commercial plans. Medicare Advantage and supplement plans differ, so we check yours before the first visit and tell you what we find.
Medicare Part B
Most PPO plans
If you pay yourself
Without insurance, your fee is set by the length of the visit and given to you in writing before you start. A small number of reduced-fee visits are held each month; ask when you call. HSA and FSA cards work. We ask for 24 hours' notice to change or cancel a visit.
Receipts for reimbursement
After a visit you can ask for an itemized receipt (a superbill) with the date, the kind of visit and a diagnosis code, to send to a plan that reimburses care outside its network. Your insurer sees the code, and your plan decides whether it pays anything, so ask it before you start.
An estimate in advance
If you pay without insurance, you have the right to a written Good Faith Estimate of what your care will cost, before you start. We send yours before the first visit. If a bill comes to $400 or more above the estimate, you can dispute it. The estimate is not a contract.
Checking your benefits
Our front desk checks your Medicare and any plan you have before the first visit, and calls you with what they find, including what you may owe. If something changes, we call before the visit, not after.
Questions
What people ask before a first session
Do you take my insurance?
We bill Medicare Part B and many commercial plans. Medicare Advantage and supplement plans differ, so our front desk checks yours before the first visit and calls you with what they find. If we are not the right fit for your plan, we will say so and suggest where to look.
What happens in the first session?
It lasts 60 minutes. Your prescriber asks about your history, how you have been and every medicine you take now, explains how Crest works and the limits of confidentiality, and you decide the next step together. Nothing is prescribed until you have talked.
Can a family member join my visit?
Yes, in the room, by video or by phone, if you say so. You choose who joins and can ask them to step out at any point. A written permission comes first, and your summary goes to them only if you say so.
Are you licensed where I live?
We are licensed in Florida. A video visit needs you to be in Florida at the time of the visit, which is the months you are here if you spend part of the year elsewhere. Your family member can join from any state.
Do you prescribe controlled medicine by video?
Not on a first video visit. Some medicines for sleep, anxiety and attention are controlled by federal and Florida law, and the rules for video change. We tell you what applies to you before the visit, and we never prescribe a controlled medicine from a message.
What is a Good Faith Estimate?
If you pay without insurance, you have the right to a written estimate of your costs before you start. We send yours before the first visit. If a bill comes to $400 or more above it, you can dispute the bill. The estimate is not a contract.
Start here
Call, or write, and bring someone if you like
We answer the phone during office hours and messages on business days.
Write to us
Tell us how to reach you
We answer on business days, by the method and at the time you choose. You can ask us to include a family member in the reply.
Phone(239) 555-0104
Hours
- Monday – ThursdayToday
- 8 a.m. – 5 p.m.
- FridayToday
- 8 a.m. – 12 p.m.
- Saturday and SundayToday
- Closed