Kristi Lynn Mccormick, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in New Carlisle, Indiana. Her current practice location is
8988 E Us Highway 20, New Carlisle, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 654-7779.
Kristi Lynn Mccormick is licensed to practice in Indiana (license number 71015455A) 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 1447096136.
Provider's Profile
Full Name | Kristi Lynn Mccormick |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8988 E Us Highway 20, New Carlisle, Indiana |
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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: 1447096136
- Provider Enumeration Date: 07/02/2024
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698215580
- Enrollment ID: I20240905004522
Medical Identifiers
Medical identifiers for Kristi Lynn Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447096136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71015455A (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. Kristi Lynn Mccormick allows following entities to bill medicare on her behalf.
Entity Name | La Porte Clinic Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
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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. Kristi Lynn Mccormick 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 |
Kristi Lynn Mccormick, FNP-C 8988 E Us Highway 20, New Carlisle, IN 46552-9038 Ph: (574) 654-7779 | Kristi Lynn Mccormick, FNP-C 8988 E Us Highway 20, New Carlisle, IN 46552-9038 Ph: (574) 654-7779 |
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