Mrs Kristin Marie Elliott, ACNP-BC in Port Huron, MI

Mrs Kristin Marie Elliott, ACNP-BC is a medicare enrolled "Nurse Practitioner" in Port Huron, Michigan. Her current practice location is 2615 Electric Avenue, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 990-8222.

Mrs Kristin Marie Elliott is licensed to practice in Michigan (license number 4704207133) 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 1801029418.

Contact Information

	Mrs Kristin Marie Elliott, ACNP-BC
	2615 Electric Avenue, Port Huron, MI 48060
	(810) 990-8222
	(810) 937-5592

Map and Direction

Provider's Profile

Full Name	Mrs Kristin Marie Elliott
Gender	Female
Speciality	Nurse Practitioner
Location	2615 Electric Avenue, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801029418
Provider Enumeration Date: 08/30/2009
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 7214072529
Enrollment ID: I20100310000808

Medical Identifiers

Medical identifiers for Mrs Kristin Marie Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801029418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704207133 (Michigan)	Primary
363LA2100X	Nurse Practitioner - Acute Care	4704207133 (Michigan)	Secondary

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. Mrs Kristin Marie Elliott allows following entities to bill medicare on her behalf.

Entity Name	St Clair Pulmonary & Critical Care P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710909478 PECOS PAC ID: 5395747786 Enrollment ID: O20070214000204

Entity Name	Port Huron Physicians Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598141640 PECOS PAC ID: 0840507802 Enrollment ID: O20150923002611

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. Mrs Kristin Marie Elliott 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
Mrs Kristin Marie Elliott, ACNP-BC 2615 Electric Avenue, Port Huron, MI 48060 Ph: (810) 990-8222	Mrs Kristin Marie Elliott, ACNP-BC 2615 Electric Avenue, Port Huron, MI 48060 Ph: (810) 990-8222

Reviews and Comments

Nurse Practitioner Nurses in Port Huron, MI

Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000
Justine Schrader, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120

Mrs Kristin Marie Elliott, ACNP-BC - Medicare Nurse Practitioner in Port Huron, MI