Melanie Creppel Bourgeois, FNP in Kingsport, TN

Melanie Creppel Bourgeois, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. Her current practice location is 4606 Sundown Dr, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 367-3323.

Melanie Creppel Bourgeois is licensed to practice in Tennessee (license number APN000024525) 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 1497220214.

Contact Information

	Melanie Creppel Bourgeois, FNP
	4606 Sundown Dr, Kingsport, TN 37664-6913
	(423) 367-3323
	Not Available

Map and Direction

Provider's Profile

Full Name	Melanie Creppel Bourgeois
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4606 Sundown Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497220214
Provider Enumeration Date: 10/08/2018
Last Update Date: 10/08/2018

Medicare PECOS Information:

PECOS PAC ID: 6103203617
Enrollment ID: I20220926000557

Medical Identifiers

Medical identifiers for Melanie Creppel Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497220214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN000024525 (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. Melanie Creppel Bourgeois allows following entities to bill medicare on her behalf.

Entity Name	Matrix Medical Network Of West
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942569033 PECOS PAC ID: 0244598621 Enrollment ID: O20171212001076

Entity Name	Healthfair Plus Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20230420002891

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. Melanie Creppel Bourgeois 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
Melanie Creppel Bourgeois, FNP 4606 Sundown Dr, Kingsport, TN 37664-6913 Ph: (423) 367-3323	Melanie Creppel Bourgeois, FNP 4606 Sundown Dr, Kingsport, TN 37664-6913 Ph: (423) 367-3323

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
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Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
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Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
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Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Melanie Creppel Bourgeois, FNP - Medicare Nurse Practitioner in Kingsport, TN