Elissa Mae Kruse, NURSE PRACTITIONER in Nashville, TN

Elissa Mae Kruse, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Nashville, Tennessee. Her current practice location is 300 20th Ave N Ste G1, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 941-8550.

Elissa Mae Kruse is licensed to practice in Tennessee (license number 33172) 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 1043922933.

Contact Information

	Elissa Mae Kruse, NURSE PRACTITIONER
	300 20th Ave N Ste G1, Nashville, TN 37203-2132
	(615) 941-8550
	(615) 941-8507

Map and Direction

Provider's Profile

Full Name	Elissa Mae Kruse
Gender	Female
Speciality	Nurse Practitioner - Family
Location	300 20th Ave N Ste G1, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043922933
Provider Enumeration Date: 12/22/2022
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8426420373
Enrollment ID: I20230202002160

Medical Identifiers

Medical identifiers for Elissa Mae Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043922933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	33172 (Tennessee)	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. Elissa Mae Kruse allows following entities to bill medicare on her behalf.

Entity Name	Advanced Diagnostic Imaging Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677

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. Elissa Mae Kruse 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 Address	Practice Location Address
Elissa Mae Kruse, NURSE PRACTITIONER 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018	Elissa Mae Kruse, NURSE PRACTITIONER 300 20th Ave N Ste G1, Nashville, TN 37203-2132 Ph: (615) 941-8550

Reviews and Comments

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Elissa Mae Kruse, NURSE PRACTITIONER - Medicare Nurse Practitioner in Nashville, TN