Elizabeth Ann Conner, NP in South Bend, IN - Medicare Nurse Practitioner

Elizabeth Ann Conner, NP is a medicare enrolled "Nurse Practitioner" in South Bend, Indiana. Her current practice location is 4522 Acacia Pl, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 360-1237.

Elizabeth Ann Conner is licensed to practice in Indiana (license number F06240441) 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 1376363622.

Contact Information

	Elizabeth Ann Conner, NP
	4522 Acacia Pl, South Bend, IN 46628-6193
	(574) 360-1237
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Ann Conner
Gender	Female
Speciality	Nurse Practitioner
Location	4522 Acacia Pl, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376363622
Provider Enumeration Date: 10/11/2024
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0446787444
Enrollment ID: I20250102000427

Medical Identifiers

Medical identifiers for Elizabeth Ann Conner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376363622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F06240441 (Indiana)	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. Elizabeth Ann Conner allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

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. Elizabeth Ann Conner 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
Elizabeth Ann Conner, NP 4522 Acacia Pl, South Bend, IN 46628-6193 Ph: (574) 360-1237	Elizabeth Ann Conner, NP 4522 Acacia Pl, South Bend, IN 46628-6193 Ph: (574) 360-1237

Reviews and Comments

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Elizabeth Ann Conner, NP - Medicare Nurse Practitioner in South Bend, IN