Marie Chantale Crosse-sumlin, APRN in Fayetteville, AR

Marie Chantale Crosse-sumlin, APRN is a medicare enrolled "Nurse Practitioner - Community Health" in Fayetteville, Arkansas. Her current practice location is 4285 N Shiloh Dr Ste 104, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 320-8588.

Marie Chantale Crosse-sumlin is licensed to practice in Arkansas (license number A01830ANP) 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 1205846813.

Contact Information

	Marie Chantale Crosse-sumlin, APRN
	4285 N Shiloh Dr Ste 104, Fayetteville, AR 72703-5351
	(479) 320-8588
	(903) 209-2907

Map and Direction

Provider's Profile

Full Name	Marie Chantale Crosse-sumlin
Gender	Female
Speciality	Nurse Practitioner - Community Health
Location	4285 N Shiloh Dr Ste 104, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205846813
Provider Enumeration Date: 08/08/2006
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1557313996
Enrollment ID: I20050321000269

Medical Identifiers

Medical identifiers for Marie Chantale Crosse-sumlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205846813	NPI	-	NPPES
155918758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	A01830ANP (Arkansas)	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. Marie Chantale Crosse-sumlin allows following entities to bill medicare on her behalf.

Entity Name	St. Francis House Nwa, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417197245 PECOS PAC ID: 0042262495 Enrollment ID: O20090526000134

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. Marie Chantale Crosse-sumlin 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
Marie Chantale Crosse-sumlin, APRN 4327 E Black Canyon St, Fayetteville, AR 72701-5875 Ph: (479) 409-9973	Marie Chantale Crosse-sumlin, APRN 4285 N Shiloh Dr Ste 104, Fayetteville, AR 72703-5351 Ph: (479) 320-8588

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, AR

Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930
Miss Sarah Anne Campbell, DNP, AGAC-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3211 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-8740

Marie Chantale Crosse-sumlin, APRN - Medicare Nurse Practitioner in Fayetteville, AR