Brittany Anne Roughsedge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Crestview, Florida. Her current practice location is
3072 Tew Ave, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at
(717) 578-8482.
Brittany Anne Roughsedge is licensed to practice in Florida (license number 11033048) 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 1205517695.
Provider's Profile
| Full Name | Brittany Anne Roughsedge |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 3072 Tew Ave, Crestview, Florida |
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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: 1205517695
- Provider Enumeration Date: 07/27/2023
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810434966
- Enrollment ID: I20240806004792
Medical Identifiers
Medical identifiers for Brittany Anne Roughsedge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205517695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 9592947 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11033048 (Florida) | 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. Brittany Anne Roughsedge allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164932901
PECOS PAC ID: 5597066001
Enrollment ID: O20151228002033 |
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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. Brittany Anne Roughsedge 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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Brittany Anne Roughsedge, CRNA
5096 Gaineswood Dr,
Milton, FL 32583-7563
Ph: (717) 578-8482 | Brittany Anne Roughsedge, CRNA
3072 Tew Ave,
Crestview, FL 32539-8162
Ph: (717) 578-8482 |
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