Mrs Kristy L Unruh, MSN, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Arco, Idaho. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lost Rivers Medical Center and her current practice location is
551 Highland Dr, Arco, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 252-7654.
Mrs Kristy L Unruh is licensed to practice in Idaho (license number 62605) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629627575.
Provider's Profile
| Full Name | Mrs Kristy L Unruh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 551 Highland Dr, Arco, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kristy L Unruh graduated from nursing school in 2019
NPI Data:
- NPI Number: 1629627575
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 09/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 8820413131
- Enrollment ID: I20200804001466
Medical Identifiers
Medical identifiers for Mrs Kristy L Unruh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629627575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 62605 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lost Rivers Medical Center | 7810807427 | 9 |
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 Kristy L Unruh allows following entities to bill medicare on her behalf.
| Entity Name | Lost Rivers Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427062181
PECOS PAC ID: 7810807427
Enrollment ID: O20040612000135 |
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| Entity Name | Lost Rivers Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760402663
PECOS PAC ID: 7810807427
Enrollment ID: O20161025002060 |
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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. Mrs Kristy L Unruh 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 |
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Mrs Kristy L Unruh, MSN, APRN, NP-C
Po Box 145,
Arco, ID 83213-0145
Ph: (208) 252-7654 | Mrs Kristy L Unruh, MSN, APRN, NP-C
551 Highland Dr,
Arco, ID 83213-5003
Ph: (208) 252-7654 |
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