Kellie Marie Creaser, FNP, PMHNP in Brookings, OR

Kellie Marie Creaser, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brookings, Oregon. Her current practice location is 840 Hassett St, Brookings, Oregon. You can reach out to her office (for appointments etc.) via phone at (307) 351-3666.

Kellie Marie Creaser is licensed to practice in Oregon (license number 201908534NP-PP) 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 1740821453.

Contact Information

	Kellie Marie Creaser, FNP, PMHNP
	840 Hassett St, Brookings, OR 97415-7201
	(307) 351-3666
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellie Marie Creaser
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	840 Hassett St, Brookings, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740821453
Provider Enumeration Date: 10/03/2019
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 9739516972
Enrollment ID: I20200227001348

Medical Identifiers

Medical identifiers for Kellie Marie Creaser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740821453	NPI	-	NPPES
500771078	Medicaid	OR
1083656367	Other	OR	CURRY MEDICAL CENTER NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201908534NP-PP (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201908534NP-PP (Oregon)	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. Kellie Marie Creaser allows following entities to bill medicare on her behalf.

Entity Name	Curry Health District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20040109000983

Entity Name	Avant Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801662598 PECOS PAC ID: 2466898358 Enrollment ID: O20240314000381

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. Kellie Marie Creaser 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
Kellie Marie Creaser, FNP, PMHNP 840 Hassett St, Brookings, OR 97415-7201 Ph: (307) 351-3666	Kellie Marie Creaser, FNP, PMHNP 840 Hassett St, Brookings, OR 97415-7201 Ph: (307) 351-3666

Reviews and Comments

Nurse Practitioner Nurses in Brookings, OR

Mrs. Shana S Stark, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-412-2081
Susan F, Pascual, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 5th St, Brookings, OR 97415 Phone: 541-671-0622
Ms. Carol Oliver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 Mill Beach Rd, Brookings, OR 97415 Phone: 541-412-8700 Fax: 707-465-6166
Mrs. Tonya Shantel Escobar, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 15861 Highway 101 S, Brookings, OR 97415 Phone: 541-254-1485
Ms. Kelly M Clayton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 446 Oak St, Brookings, OR 97415 Phone: 541-469-7401 Fax: 541-469-7083
Jennifer M. Boyle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 5th St, Brookings, OR 97415 Phone: 541-469-5377 Fax: 541-469-8015
Jackie B Michael-havens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-412-2081

Kellie Marie Creaser, FNP, PMHNP - Medicare Nurse Practitioner in Brookings, OR