Elizabeth Marie Le, CRNP is a medicare enrolled "Nurse Practitioner" in Montgomery, Pennsylvania. Her current practice location is
45 Park Dr, Montgomery, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 546-4062.
Elizabeth Marie Le is licensed to practice in Pennsylvania (license number SP027015) 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 1790482479.
Provider's Profile
| Full Name | Elizabeth Marie Le |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 45 Park Dr, Montgomery, Pennsylvania |
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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: 1790482479
- Provider Enumeration Date: 02/13/2023
- Last Update Date: 02/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365816428
- Enrollment ID: I20230314000114
Medical Identifiers
Medical identifiers for Elizabeth Marie Le such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790482479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | SP027015 (Pennsylvania) | 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. Elizabeth Marie Le allows following entities to bill medicare on her behalf.
| Entity Name | Susquehanna Physician Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023065885
PECOS PAC ID: 2264336460
Enrollment ID: O20040415000779 |
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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. Elizabeth Marie Le 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 |
|---|
Elizabeth Marie Le, CRNP
1201 Grampian Blvd,
Williamsport, PA 17701-1900
Ph: (888) 647-9600 | Elizabeth Marie Le, CRNP
45 Park Dr,
Montgomery, PA 17752-8533
Ph: (570) 546-4062 |
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