Charlie J Cruce, in Dermott, AR - Medicare Nurse Practitioner

Charlie J Cruce, is a medicare enrolled "Nurse Practitioner - Family" in Dermott, Arkansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mainline Health Systems, Inc and her current practice location is 300 S School St, Dermott, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 538-3355.

Charlie J Cruce is licensed to practice in Arkansas (license number 122323) 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 1962044800.

Contact Information

	Charlie J Cruce,
	300 S School St, Dermott, AR 71638-2127
	(870) 538-3355
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlie J Cruce
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	300 S School St, Dermott, Arkansas
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:

Charlie J Cruce graduated from nursing school in 2019

NPI Data:

NPI Number: 1962044800
Provider Enumeration Date: 10/11/2019
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 7416382965
Enrollment ID: I20200110001871

Medical Identifiers

Medical identifiers for Charlie J Cruce such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962044800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	122323 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital
Drew Memorial Hospital	Monticello, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainline Health Systems, Inc	5193785590	47

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. Charlie J Cruce allows following entities to bill medicare on her behalf.

Entity Name	Mainline Health Systems, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567

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. Charlie J Cruce 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
Charlie J Cruce, Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414	Charlie J Cruce, 300 S School St, Dermott, AR 71638-2127 Ph: (870) 538-3355

Reviews and Comments

Nurse Practitioner Nurses in Dermott, AR

Rebekah Ayecock, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 South School St, Dermott, AR 71638 Phone: 870-538-3355 Fax: 855-811-4203
Tiffany Wargo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-3355
Brenda Fowler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 S Pecan St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701
Kimberly Weeks, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296
Courtney Shay Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701
Mrs. Dana Shea Phillips, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701
Shenika Jackson-king, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701

Charlie J Cruce, - Medicare Nurse Practitioner in Dermott, AR