Maura Ann Crescenzo, NP is a medicare enrolled "Nurse Practitioner - Family" in Blissfield, Michigan. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Promedica Central Corporation Of Michigan and her current practice location is
157 W Brooke Ln, Blissfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 486-2411.
Maura Ann Crescenzo is licensed to practice in Michigan (license number 4704347832) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518341098.
Provider's Profile
| Full Name | Maura Ann Crescenzo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 157 W Brooke Ln, Blissfield, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Maura Ann Crescenzo graduated from nursing school in 2015
NPI Data:
- NPI Number: 1518341098
- Provider Enumeration Date: 07/15/2015
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961717236
- Enrollment ID: I20190102001043
Medical Identifiers
Medical identifiers for Maura Ann Crescenzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518341098 | NPI | - | NPPES |
| 1518341098 | Medicaid | MI | |
| 0139529 | Medicaid | OH | |
| M35150171 | Other | MI | MI MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 17682-NP (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704347832 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Promedica Central Corporation Of Michigan | 7012902265 | 107 |
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. Maura Ann Crescenzo allows following entities to bill medicare on her behalf.
| Entity Name | Promedica Central Corporation Of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588624696
PECOS PAC ID: 7012902265
Enrollment ID: O20040416001163 |
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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. Maura Ann Crescenzo 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 |
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Maura Ann Crescenzo, NP
157 W Brooke Ln,
Blissfield, MI 49228-8601
Ph: (517) 486-2411 | Maura Ann Crescenzo, NP
157 W Brooke Ln,
Blissfield, MI 49228
Ph: (517) 486-2411 |
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