Michelle Amber Kruse, FNP-C is a medicare enrolled "Nurse Practitioner" in Buhl, Idaho. Her current practice location is
980 Burley Ave, Buhl, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 814-9150.
Michelle Amber Kruse is licensed to practice in Idaho (license number 6261075) 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 1699510404.
Provider's Profile
| Full Name | Michelle Amber Kruse |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 980 Burley Ave, Buhl, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699510404
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466983721
- Enrollment ID: I20240927001602
Medical Identifiers
Medical identifiers for Michelle Amber Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699510404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 6261075 (Idaho) | 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. Michelle Amber Kruse allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899 |
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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. Michelle Amber Kruse 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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Michelle Amber Kruse, FNP-C
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Michelle Amber Kruse, FNP-C
980 Burley Ave,
Buhl, ID 83316-1849
Ph: (208) 814-9150 |
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