Breanna Rose Craigue, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Charlestown, New Hampshire. Her current practice location is
250 Ceda Rd, Charlestown, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 826-5711.
Breanna Rose Craigue is licensed to practice in New Hampshire (license number 07357223) 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 1639913825.
Provider's Profile
| Full Name | Breanna Rose Craigue |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 250 Ceda Rd, Charlestown, New Hampshire |
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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: 1639913825
- Provider Enumeration Date: 06/21/2024
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062953722
- Enrollment ID: I20240920002448
Medical Identifiers
Medical identifiers for Breanna Rose Craigue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639913825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 07357223 (New Hampshire) | 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. Breanna Rose Craigue allows following entities to bill medicare on her behalf.
| Entity Name | Springfield Medical Care Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730336843
PECOS PAC ID: 9133157043
Enrollment ID: O20090610000090 |
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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. Breanna Rose Craigue 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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Breanna Rose Craigue, APRN
33 Craigue Hill Rd,
Claremont, NH 03743-4334
Ph: (603) 558-1028 | Breanna Rose Craigue, APRN
250 Ceda Rd,
Charlestown, NH 03603-4511
Ph: (603) 826-5711 |
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