Carla M Creekmore, CRNP in Louisville, KY - Medicare Nurse Practitioner

Carla M Creekmore, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Louisville, Kentucky. Her current practice location is 5211 Commerce Crossings Dr, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 966-3918.

Carla M Creekmore is licensed to practice in Maryland (license number R139268) 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 1922058643.

Contact Information

	Carla M Creekmore, CRNP
	5211 Commerce Crossings Dr, Louisville, KY 40229-2183
	(502) 966-3918
	(502) 969-3665

Map and Direction

Provider's Profile

Full Name	Carla M Creekmore
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	5211 Commerce Crossings Dr, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922058643
Provider Enumeration Date: 05/11/2006
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 4587678131
Enrollment ID: I20200624003266

Medical Identifiers

Medical identifiers for Carla M Creekmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922058643	NPI	-	NPPES
409219800	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R139268 (Maryland)	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. Carla M Creekmore allows following entities to bill medicare on her behalf.

Entity Name	Norton Childrens Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758

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. Carla M Creekmore 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
Carla M Creekmore, CRNP 500 Greene St, Children's Medical Group, Cumberland, MD 21502-2755 Ph: (301) 724-7616	Carla M Creekmore, CRNP 5211 Commerce Crossings Dr, Louisville, KY 40229-2183 Ph: (502) 966-3918

Reviews and Comments

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Carla M Creekmore, CRNP - Medicare Nurse Practitioner in Louisville, KY