Krystal Jo Etters, RN is a medicare enrolled "Nurse Practitioner - Primary Care" in Roseville, Ohio. Her current practice location is 
4690 Butler Rd, Roseville, Ohio. You can reach out to her office (for appointments etc.) via phone at 
(740) 252-1934.
Krystal Jo Etters is licensed to practice in Ohio (license number APRN.CNP.0029903) 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 1780924217.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Krystal Jo Etters | 
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| Gender | Female | 
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| Speciality | Nurse Practitioner - Primary Care | 
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| Location | 4690 Butler Rd, Roseville, Ohio | 
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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: 1780924217
 - Provider Enumeration Date: 02/20/2013
 - Last Update Date: 10/05/2021
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 0042651119
 - Enrollment ID: I20250319002097
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Krystal Jo Etters such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1780924217 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 163W00000X | Registered Nurse  | RN.374253 (Ohio) | Secondary | 
| 363LP2300X | Nurse Practitioner - Primary Care  | APRN.CNP.0029903 (Ohio) | 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. Krystal Jo Etters allows following entities to bill medicare on her behalf.
| Entity Name | Absolute Hospice, Inc. | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1649694068 PECOS PAC ID: 4183856800 Enrollment ID: O20200508001717 | 
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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. Krystal Jo Etters 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 | 
		Krystal Jo Etters, RN 420 Perine Rd, Zanesville, OH 43701-7641 Ph: () - | Krystal Jo Etters, RN 4690 Butler Rd, Roseville, OH 43777-9719 Ph: (740) 252-1934 | 
		
		 
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