Amy E Crosson, NP is a medicare enrolled "Nurse Practitioner - Family" physician in South Bend, Indiana. She graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The South Bend Clinic Llc and her current practice location is
211 N Eddy St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 234-8161.
Amy E Crosson is licensed to practice in Indiana (license number 71002016A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982854741.
Physician's Profile
| Full Name | Amy E Crosson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 211 N Eddy St, South Bend, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amy E Crosson graduated from medical school in 2005
NPI Data:
- NPI Number: 1982854741
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779891734
- Enrollment ID: I20150924003012
Medical Identifiers
Medical identifiers for Amy E Crosson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982854741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QA0505X | Family Medicine - Adult Medicine | 71002016 (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71002016A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The South Bend Clinic Llc | 3779577937 | 167 |
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. Amy E Crosson allows following entities to bill medicare on her behalf.
| Entity Name | The South Bend Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
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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. Amy E Crosson 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 |
Amy E Crosson, NP 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 234-8161 | Amy E Crosson, NP 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 234-8161 |
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