Krupa Patel, FNP-C - Medicare Nurse Practitioner in Cumming, GA

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Krupa Patel, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cumming, Georgia. Her current practice location is 260 Elm St, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (708) 871-6687.

Krupa Patel is licensed to practice in Georgia (license number RN287280) 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 1033818638.

Contact Information

Krupa Patel, FNP-C
260 Elm St,
Cumming, GA 30040-2467
(708) 871-6687
Not Available

Map and Direction




Provider's Profile

Full NameKrupa Patel
GenderFemale
SpecialityNurse Practitioner - Family
Location260 Elm St, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033818638
  • Provider Enumeration Date: 03/02/2023
  • Last Update Date: 03/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103285622
  • Enrollment ID: I20230630002300

Medical Identifiers

Medical identifiers for Krupa Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033818638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN287280 (Georgia)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. Krupa Patel allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameGeorgia Highlands Medical Services, Inc.
Entity TypePart A Provider - Federally Qualified Health Center (fqhc)
Entity IdentifiersNPI Number: 1174529192
PECOS PAC ID: 5890682017
Enrollment ID: O20100604000195

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. Krupa Patel 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 AddressPractice Location Address
Krupa Patel, FNP-C
260 Elm St,
Cumming, GA 30040-2467

Ph: (770) 887-1668		Krupa Patel, FNP-C
260 Elm St,
Cumming, GA 30040-2467

Ph: (708) 871-6687

Reviews and Comments


Nurse Practitioner Nurses in Cumming, GA

Mrs. Katherine Weaver, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 260 Elm St, Cumming, GA 30040
Phone: 770-887-1668    Fax: 770-781-9937
Megan Irene Smith, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041
Phone: 770-844-0877    Fax: 770-844-0891
Haley Elizabeth Doran, NP
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Medicare: Medicare Enrolled
Practice Location: 210 Dahlonega St Ste 100, Cumming, GA 30040
Phone: 770-751-1589    
Mrs. Zahra Alavi, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 980 Sanders Rd Ste 100, Cumming, GA 30041
Phone: 770-886-1074    Fax: 770-205-4717
Jill Morich Webb, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5965 Parkway North Blvd Ste C, Cumming, GA 30040
Phone: 770-886-5700    Fax: 770-886-0404
Julia Caroline Branch, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041
Phone: 770-889-9737    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.