Mr Brian John Crowley, RN, APRN is a medicare enrolled "Nurse Practitioner" in Southgate, Kentucky. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Summit Medical Group, Inc and his current practice location is
525 Alexandria Pike, Southgate, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 212-0175.
Mr Brian John Crowley is licensed to practice in Kentucky (license number 3004900) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982809828.
Provider's Profile
| Full Name | Mr Brian John Crowley |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 27 Years |
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| Location | 525 Alexandria Pike, Southgate, Kentucky |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Brian John Crowley graduated from nursing school in 1997
NPI Data:
- NPI Number: 1982809828
- Provider Enumeration Date: 06/20/2007
- Last Update Date: 06/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 0446393425
- Enrollment ID: I20150327000221
Medical Identifiers
Medical identifiers for Mr Brian John Crowley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982809828 | NPI | - | NPPES |
| 7100098400 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 3004900 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | COA.09136-NP (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group, Inc | 2163326240 | 712 |
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. Mr Brian John Crowley allows following entities to bill medicare on his behalf.
| Entity Name | Summit Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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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. Mr Brian John Crowley 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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Mr Brian John Crowley, RN, APRN
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 344-5555 | Mr Brian John Crowley, RN, APRN
525 Alexandria Pike,
Southgate, KY 41071-3290
Ph: (859) 212-0175 |
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