Craig H Dutton, FNP is a medicare enrolled "Nurse Practitioner - Family" in Elizabethtown, Illinois. His current practice location is
609 Il Route 146 E, Elizabethtown, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 289-4858.
Craig H Dutton is licensed to practice in Illinois (license number 209.021921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619584653.
Provider's Profile
Full Name | Craig H Dutton |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 609 Il Route 146 E, Elizabethtown, Illinois |
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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: 1619584653
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 09/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032562350
- Enrollment ID: I20240201004338
Medical Identifiers
Medical identifiers for Craig H Dutton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619584653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.021921 (Illinois) | 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. Craig H Dutton allows following entities to bill medicare on his behalf.
Entity Name | Mount Vernon Medical Enterprises Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548877947 PECOS PAC ID: 0244643393 Enrollment ID: O20210108001228 |
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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. Craig H Dutton 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 |
Craig H Dutton, FNP 609 Il Route 146 E, Elizabethtown, IL 62931-4015 Ph: (618) 499-9648 | Craig H Dutton, FNP 609 Il Route 146 E, Elizabethtown, IL 62931-4015 Ph: (618) 289-4858 |
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