Abbi Danae Kroll, is a medicare enrolled "Hospitalist" in Michigan City, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clarksville Physician Services Pc, Clarksville Emergency Group, Pc and her current practice location is
3500 Franciscan Way, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 877-1616.
Abbi Danae Kroll is licensed to practice in Indiana (license number 71010291A) 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 1992314504.
Provider's Profile
Full Name | Abbi Danae Kroll |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 3500 Franciscan Way, Michigan City, Indiana |
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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. |
Medical Education and Training:
- Abbi Danae Kroll graduated from nursing school in 2020
NPI Data:
- NPI Number: 1992314504
- Provider Enumeration Date: 07/29/2020
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426475120
- Enrollment ID: I20200826001888
Medical Identifiers
Medical identifiers for Abbi Danae Kroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992314504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | 28235925A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71010291A (Indiana) | Secondary |
208M00000X | Hospitalist | 71010291A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Clarksville Physician Services Pc | 3476937756 | 37 |
Clarksville Emergency Group, Pc | 6507277423 | 129 |
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. Abbi Danae Kroll allows following entities to bill medicare on her behalf.
Entity Name | App Of Indiana Ed, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
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Entity Name | App Of Indiana Hm, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578105946 PECOS PAC ID: 8921432451 Enrollment ID: O20191216002658 |
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Entity Name | Clarksville Emergency Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
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Entity Name | Clarksville Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811629546 PECOS PAC ID: 3476937756 Enrollment ID: O20220906001693 |
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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. Abbi Danae 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 |
Abbi Danae Kroll, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Abbi Danae Kroll, 3500 Franciscan Way, Michigan City, IN 46360-0021 Ph: (219) 877-1616 |
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