Courtney Alyson Kraske, is a medicare enrolled "Internal Medicine" in Long Beach, California. Her current practice location is
2801 Atlantic Ave, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at
(562) 933-2000.
Courtney Alyson Kraske is licensed to practice in California (license number 95022600) 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 1396457602.
Provider's Profile
| Full Name | Courtney Alyson Kraske |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 2801 Atlantic Ave, Long Beach, California |
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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: 1396457602
- Provider Enumeration Date: 12/19/2022
- Last Update Date: 02/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749649655
- Enrollment ID: I20230710001791
Medical Identifiers
Medical identifiers for Courtney Alyson Kraske such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396457602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95022600 (California) | Secondary |
| 207R00000X | Internal Medicine | 95022600 (California) | 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. Courtney Alyson Kraske allows following entities to bill medicare on her behalf.
| Entity Name | Inpatient Specialists Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915 |
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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. Courtney Alyson Kraske 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 |
|---|
Courtney Alyson Kraske,
2801 Atlantic Ave,
Long Beach, CA 90806-1701
Ph: (562) 933-2000 | Courtney Alyson Kraske,
2801 Atlantic Ave,
Long Beach, CA 90806-1701
Ph: (562) 933-2000 |
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