Karissa Thueson, NNP in Rexburg, ID - Medicare Nurse Practitioner

Karissa Thueson, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Rexburg, Idaho. Her current practice location is 450 E Main St, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 359-6900.

Karissa Thueson is licensed to practice in Idaho (license number 65959) 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 1396352142.

Contact Information

	Karissa Thueson, NNP
	450 E Main St, Rexburg, ID 83440-2048
	(208) 359-6900
	Not Available

Map and Direction

Provider's Profile

Full Name	Karissa Thueson
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	450 E Main St, Rexburg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396352142
Provider Enumeration Date: 09/25/2020
Last Update Date: 09/25/2020

Medicare PECOS Information:

PECOS PAC ID: 2769893809
Enrollment ID: I20201123000489

Medical Identifiers

Medical identifiers for Karissa Thueson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396352142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	65959 (Idaho)	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. Karissa Thueson allows following entities to bill medicare on her behalf.

Entity Name	Madison Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346643038 PECOS PAC ID: 4183949522 Enrollment ID: O20150206000933

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. Karissa Thueson 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
Karissa Thueson, NNP 301 N 3811 E, Rigby, ID 83442-5186 Ph: (208) 497-8114	Karissa Thueson, NNP 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 359-6900

Reviews and Comments

Nurse Practitioner Nurses in Rexburg, ID

Bryce Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900
Troy Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691
Annette Mary Tuft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 N 2nd E, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780
Beyron Alexis Zecher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900
Nichole Ann Jeppesen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9467 Fax: 208-656-9466
Mr. Jeremiah Robins Clark, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Pioneer Rd Apt 1320, Rexburg, ID 83440 Phone: 269-428-7228
Arleigh Nash, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-359-1600

Karissa Thueson, NNP - Medicare Nurse Practitioner in Rexburg, ID