Casey M Street, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Pine Grove, West Virginia. Her current practice location is
Rt 20, Pine Grove, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 889-3344.
Casey M Street is licensed to practice in West Virginia (license number 73105) 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 1043566474.
Provider's Profile
Full Name | Casey M Street |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | Rt 20, Pine Grove, 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. |
NPI Data:
- NPI Number: 1043566474
- Provider Enumeration Date: 08/03/2012
- Last Update Date: 08/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 9335397868
- Enrollment ID: I20120907000169
Medical Identifiers
Medical identifiers for Casey M Street such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043566474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 73105 (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. Casey M Street 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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Entity Name | Valeo Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407180888 PECOS PAC ID: 5597806471 Enrollment ID: O20100114000388 |
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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. Casey M Street 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 |
Casey M Street, FNP-BC Po Box 418, Pine Grove, WV 26419-0418 Ph: (304) 889-3344 | Casey M Street, FNP-BC Rt 20, Pine Grove, WV 26419-0418 Ph: (304) 889-3344 |
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