Elisha Christianson, FNP in Bridgeport, CT - Medicare Nurse Practitioner

Elisha Christianson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrated Dermatology Of Clinton,llc, Integrated Dermatology Of Waterbury Llc and her current practice location is 4639 Main St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 374-5546.

Elisha Christianson is licensed to practice in Connecticut (license number 5899) 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 1609124528.

Contact Information

	Elisha Christianson, FNP
	4639 Main St, Bridgeport, CT 06606-1832
	(203) 374-5546
	(203) 371-4056

Map and Direction

Provider's Profile

Full Name	Elisha Christianson
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	4639 Main St, Bridgeport, Connecticut
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:

Elisha Christianson graduated from nursing school in 2005

NPI Data:

NPI Number: 1609124528
Provider Enumeration Date: 08/27/2012
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8123448990
Enrollment ID: I20201015002966

Medical Identifiers

Medical identifiers for Elisha Christianson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609124528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5899 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	337561 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	5899 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Dermatology Of Clinton,llc	7416257381	6
Integrated Dermatology Of Waterbury Llc	9133467665	6

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. Elisha Christianson allows following entities to bill medicare on her behalf.

Entity Name	Integrated Dermatology Of Clinton,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457728883 PECOS PAC ID: 7416257381 Enrollment ID: O20151125000408

Entity Name	Integrated Dermatology Of Waterbury Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588136220 PECOS PAC ID: 9133467665 Enrollment ID: O20190208000034

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. Elisha Christianson 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
Elisha Christianson, FNP 1275 Summer St, Suite 101, Stamford, CT 06905-5359 Ph: (203) 323-5660	Elisha Christianson, FNP 4639 Main St, Bridgeport, CT 06606-1832 Ph: (203) 374-5546

Reviews and Comments

Nurse Practitioner Nurses in Bridgeport, CT

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Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198

Elisha Christianson, FNP - Medicare Nurse Practitioner in Bridgeport, CT