Marisa Ebersole, in Clarksville, TN - Medicare Nurse Practitioner

Marisa Ebersole, is a medicare enrolled "Nurse Practitioner - Family" in Clarksville, Tennessee. Her current practice location is 1193 Fort Campbell Blvd, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 648-4838.

Marisa Ebersole is licensed to practice in Tennessee (license number 34201) 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 1144908260.

Contact Information

	Marisa Ebersole,
	1193 Fort Campbell Blvd, Clarksville, TN 37042-8880
	(931) 648-4838
	Not Available

Map and Direction

Provider's Profile

Full Name	Marisa Ebersole
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1193 Fort Campbell Blvd, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144908260
Provider Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3971965922
Enrollment ID: I20230808003836

Medical Identifiers

Medical identifiers for Marisa Ebersole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144908260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	34201 (Tennessee)	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. Marisa Ebersole allows following entities to bill medicare on her behalf.

Entity Name	Crossroads Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672

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. Marisa Ebersole 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
Marisa Ebersole, 1193 Fort Campbell Blvd, Clarksville, TN 37042-8880 Ph: () -	Marisa Ebersole, 1193 Fort Campbell Blvd, Clarksville, TN 37042-8880 Ph: (931) 648-4838

Reviews and Comments

Nurse Practitioner Nurses in Clarksville, TN

Amber L Schacht, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 881 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-4685 Fax: 931-245-2117
Mrs. Brittney Wilkinson Lesser, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Ln Ste 301, Clarksville, TN 37040 Phone: 931-431-4677
Katherine R Harrison, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Weatherly, Suite 201, Clarksville, TN 37043 Phone: 931-648-1912 Fax: 931-648-1277
Ms. Elizabeth Bator, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Ted A Crozr Blvd Ste A, Clarksville, TN 37043 Phone: 931-538-3039 Fax: 931-245-5484
Danielle Reine Schaaf, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Pageant Ln Ste 307, Clarksville, TN 37040 Phone: 931-906-2001
Willie Lance Lemusu, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Jefferson St, Clarksville, TN 37040 Phone: 931-266-4999
Jennifer A Nelson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Otis Smith Dr, Clarksville, TN 37043 Phone: 931-553-6666 Fax: 931-553-4006

Marisa Ebersole, - Medicare Nurse Practitioner in Clarksville, TN