Mrs Adriana Addison, FNP-BC in Pine City, MN - Medicare Nurse Practitioner

Mrs Adriana Addison, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Pine City, Minnesota. Her current practice location is 100 Evergreen Sq Sw, Pine City, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 629-6721.

Mrs Adriana Addison is licensed to practice in Minnesota (license number 3164) 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 1902053952.

Contact Information

	Mrs Adriana Addison, FNP-BC
	100 Evergreen Sq Sw, Pine City, MN 55063-2000
	(320) 629-6721
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Adriana Addison
Gender	Female
Speciality	Nurse Practitioner - Family
Location	100 Evergreen Sq Sw, Pine City, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902053952
Provider Enumeration Date: 08/21/2008
Last Update Date: 01/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0941358808
Enrollment ID: I20130205000150

Medical Identifiers

Medical identifiers for Mrs Adriana Addison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902053952	NPI	-	NPPES
190205392	Medicaid	WI
190205392	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	160486-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	3647 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	3164 (Minnesota)	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. Mrs Adriana Addison allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

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. Mrs Adriana Addison 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
Mrs Adriana Addison, FNP-BC 257 W Saint George Ave, Grantsburg, WI 54840-7827 Ph: (715) 463-5317	Mrs Adriana Addison, FNP-BC 100 Evergreen Sq Sw, Pine City, MN 55063-2000 Ph: (320) 629-6721

Reviews and Comments

Nurse Practitioner Nurses in Pine City, MN

Melinda Margaret Mckay, DNP, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Main St N, Pine City, MN 55063 Phone: 320-629-7505 Fax: 320-225-3507
Kathryn Marvin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Evergreen Sq Sw, Pine City, MN 55063 Phone: 320-629-6721
Sandra J. Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Main St N, Pine City, MN 55063 Phone: 320-629-7505 Fax: 320-629-2202

Mrs Adriana Addison, FNP-BC - Medicare Nurse Practitioner in Pine City, MN