Colleen M Kroll, APRN is a medicare enrolled "Nurse Practitioner - Family" provider in Morgantown, West Virginia. Her current practice location is
6040 University Town Centre Dr, Morgantown, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 285-7222.
Colleen M Kroll is licensed to practice in West Virginia (license number 82672) 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 1942457338.
Healthcare Provider's Profile
| Full Name | Colleen M Kroll |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6040 University Town Centre Dr, Morgantown, West Virginia |
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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: 1942457338
- Provider Enumeration Date: 08/27/2008
- Last Update Date: 10/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072822345
- Enrollment ID: I20151028000334
Medical Identifiers
Medical identifiers for Colleen M Kroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942457338 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 82672 (West Virginia) | 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. Colleen M Kroll allows following entities to bill medicare on her behalf.
| Entity Name | West Virginia University Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207 |
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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. Colleen M Kroll 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 |
|---|
Colleen M Kroll, APRN
Po Box 9214,
Morgantown, WV 26506-9214
Ph: (304) 293-6307 | Colleen M Kroll, APRN
6040 University Town Centre Dr,
Morgantown, WV 26501-2421
Ph: (304) 285-7222 |
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