Kristen Conway Fakes, in Rensselaer, IN - Medicare Nurse Practitioner

Kristen Conway Fakes, is a medicare enrolled "Nurse Practitioner - Gerontology" in Rensselaer, Indiana. Her current practice location is 1104 E Grace St, Rensselaer, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 866-5141.

Kristen Conway Fakes is licensed to practice in Indiana (license number 71014561A) 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 1578349965.

Contact Information

	Kristen Conway Fakes,
	1104 E Grace St, Rensselaer, IN 47978-3211
	(219) 866-5141
	(218) 866-2070

Map and Direction

Provider's Profile

Full Name	Kristen Conway Fakes
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1104 E Grace St, Rensselaer, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578349965
Provider Enumeration Date: 09/01/2023
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0749631554
Enrollment ID: I20240105001968

Medical Identifiers

Medical identifiers for Kristen Conway Fakes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578349965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28240075A (Indiana)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	71014561A (Indiana)	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. Kristen Conway Fakes allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Kristen Conway Fakes 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
Kristen Conway Fakes, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Kristen Conway Fakes, 1104 E Grace St, Rensselaer, IN 47978-3211 Ph: (219) 866-5141

Reviews and Comments

Nurse Practitioner Nurses in Rensselaer, IN

Ms. Mary Jo Elkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 E Grace St, Rensselaer, IN 47978 Phone: 219-866-0411 Fax: 219-866-1920
Mrs. Taylor Snodgrass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 E Grace St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-0803
Sharon A Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 W Washington St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-0803
Patricia Louise Benedict, MSN,FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 716 S College Ave, Rensselaer, IN 47978 Phone: 219-866-0485 Fax: 219-866-0837
Wanda Gay Gifford, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4300 Fax: 219-866-7591
Mrs. Reba Jean Mahaffey, RN MS FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 S Mckinley Ave, Rensselaer, IN 47978 Phone: 219-866-7222 Fax: 219-866-7001
Morganne Atteberry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 S Mckinley Ave, Rensselaer, IN 47978 Phone: 219-866-1890 Fax: 219-866-1871

Kristen Conway Fakes, - Medicare Nurse Practitioner in Rensselaer, IN