Kristina Anne Bryant, NP is a medicare enrolled "Nurse Practitioner - Family" in Grayville, Illinois. Her current practice location is
610 N Court St., Grayville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 375-7101.
Kristina Anne Bryant is licensed to practice in Illinois (license number 209013299) 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 1184092819.
Provider's Profile
| Full Name | Kristina Anne Bryant |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 610 N Court St., Grayville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184092819
- Provider Enumeration Date: 09/11/2015
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698084473
- Enrollment ID: I20180712002961
Medical Identifiers
Medical identifiers for Kristina Anne Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184092819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209013299 (Illinois) | 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. Kristina Anne Bryant allows following entities to bill medicare on her behalf.
| Entity Name | Good Samaritan Hospital Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
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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. Kristina Anne Bryant 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 |
Kristina Anne Bryant, NP 610 N Court St., Grayville, IL 62844 Ph: (618) 375-7101 | Kristina Anne Bryant, NP 610 N Court St., Grayville, IL 62844 Ph: (618) 375-7101 |
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