Kristen Nicole Bannister, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fredonia, Kentucky. Her current practice location is
21234 Marion Rd, Fredonia, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 545-2929.
Kristen Nicole Bannister is licensed to practice in Kentucky (license number 4011046) 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 1174395180.
Provider's Profile
| Full Name | Kristen Nicole Bannister |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 21234 Marion Rd, Fredonia, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174395180
- Provider Enumeration Date: 10/23/2023
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769839612
- Enrollment ID: I20231114002732
Medical Identifiers
Medical identifiers for Kristen Nicole Bannister such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174395180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4011046 (Kentucky) | 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. Kristen Nicole Bannister allows following entities to bill medicare on her behalf.
| Entity Name | Crittenden Community Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275097339
PECOS PAC ID: 8426398793
Enrollment ID: O20190606001972 |
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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. Kristen Nicole Bannister 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 |
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Kristen Nicole Bannister, APRN, FNP-BC
21234 Marion Rd,
Fredonia, KY 42411-9250
Ph: (270) 545-2929 | Kristen Nicole Bannister, APRN, FNP-BC
21234 Marion Rd,
Fredonia, KY 42411-9250
Ph: (270) 545-2929 |
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