Nella Jackson Perrella, MSN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Crescent Springs, Kentucky. Her current practice location is
606 Buttermilk Pike, Crescent Springs, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 344-1824.
Nella Jackson Perrella is licensed to practice in Kentucky (license number 3012187) 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 1356861751.
Provider's Profile
| Full Name | Nella Jackson Perrella |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 606 Buttermilk Pike, Crescent Springs, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356861751
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800169749
- Enrollment ID: I20170829001489
Medical Identifiers
Medical identifiers for Nella Jackson Perrella such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356861751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN223408 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.022420 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3012187 (Kentucky) | 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. Nella Jackson Perrella allows following entities to bill medicare on her behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370 |
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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. Nella Jackson Perrella 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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Nella Jackson Perrella, MSN, FNP
2883 Markbreit Ave,
Cincinnati, OH 45209-2019
Ph: (770) 301-4035 | Nella Jackson Perrella, MSN, FNP
606 Buttermilk Pike,
Crescent Springs, KY 41017
Ph: (859) 344-1824 |
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