Eliza Creedon, in Prosper, TX - Medicare Nurse Practitioner

Eliza Creedon, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Prosper, Texas. Her current practice location is 4110 Porosa Ln, Prosper, Texas. You can reach out to her office (for appointments etc.) via phone at (917) 886-4283.

Eliza Creedon is licensed to practice in Texas (license number 1002430) 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 1407534522.

Contact Information

	Eliza Creedon,
	4110 Porosa Ln, Prosper, TX 75078-0209
	(917) 886-4283
	Not Available

Map and Direction

Provider's Profile

Full Name	Eliza Creedon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4110 Porosa Ln, Prosper, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407534522
Provider Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6709248388
Enrollment ID: I20230814002728

Medical Identifiers

Medical identifiers for Eliza Creedon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407534522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1002430 (Texas)	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. Eliza Creedon allows following entities to bill medicare on her behalf.

Entity Name	Shahla Ali Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841605706 PECOS PAC ID: 4587971452 Enrollment ID: O20150910000954

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. Eliza Creedon 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
Eliza Creedon, 4110 Porosa Ln, Prosper, TX 75078-0209 Ph: (917) 886-4283	Eliza Creedon, 4110 Porosa Ln, Prosper, TX 75078-0209 Ph: (917) 886-4283

Reviews and Comments

Nurse Practitioner Nurses in Prosper, TX

Mrs. Jennifer Shah, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N Preston Rd Ste B, Prosper, TX 75078 Phone: 972-347-1320
Mrs. Susan Rene' Baker, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2810 Fishtrap Rd Ste 30, Prosper, TX 75078 Phone: 469-281-2388 Fax: 469-283-2489
Jean Ann Clark, MSRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 S Preston Rd, Prosper, TX 75078 Phone: 972-347-6375 Fax: 972-347-6375
Francisca Ruswayi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1131 Packsaddle Trl, Prosper, TX 75078 Phone: 214-680-9190
Allison Sullivan, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200
Namrata Yadav, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2381 E University Dr Ste 50, Prosper, TX 75078 Phone: 972-987-0458
Elease Shareka Gathings, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 S Preston Rd, Prosper, TX 75078 Phone: 972-347-6376

Eliza Creedon, - Medicare Nurse Practitioner in Prosper, TX