Kara Breann Krivanec, NP is a medicare enrolled "Nurse Practitioner - Family" in Rolling Fork, Mississippi. Her current practice location is
29 S Fourth St, Rolling Fork, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 873-4361.
Kara Breann Krivanec is licensed to practice in Mississippi (license number 905613) 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 1295449601.
Provider's Profile
Full Name | Kara Breann Krivanec |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 29 S Fourth St, Rolling Fork, Mississippi |
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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: 1295449601
- Provider Enumeration Date: 01/10/2023
- Last Update Date: 01/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779955521
- Enrollment ID: I20230204000535
Medical Identifiers
Medical identifiers for Kara Breann Krivanec such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295449601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 905613 (Mississippi) | 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. Kara Breann Krivanec allows following entities to bill medicare on her behalf.
Entity Name | Pain Treatment Centers Of America Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20211104001837 |
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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. Kara Breann Krivanec 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 |
Kara Breann Krivanec, NP 251 Fisher Rd, Glen Allan, MS 38744-9758 Ph: (228) 697-2181 | Kara Breann Krivanec, NP 29 S Fourth St, Rolling Fork, MS 39159-5146 Ph: (662) 873-4361 |
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