Mrs Miasha Renee Crutchfield, APRN in Louisville, KY

Mrs Miasha Renee Crutchfield, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Park Duvalle Community Health Center, Inc and her current practice location is 3015 Wilson Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 774-4401.

Mrs Miasha Renee Crutchfield is licensed to practice in Kentucky (license number 3011268) 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 1003344854.

Contact Information

	Mrs Miasha Renee Crutchfield, APRN
	3015 Wilson Ave, Louisville, KY 40211-1969
	(502) 774-4401
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Miasha Renee Crutchfield
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3015 Wilson Ave, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Miasha Renee Crutchfield graduated from nursing school in 2017

NPI Data:

NPI Number: 1003344854
Provider Enumeration Date: 05/24/2017
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0244501906
Enrollment ID: I20180209002156

Medical Identifiers

Medical identifiers for Mrs Miasha Renee Crutchfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003344854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3011268 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Hospitals, Inc	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Duvalle Community Health Center, Inc	1658268974	20

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. Mrs Miasha Renee Crutchfield allows following entities to bill medicare on her behalf.

Entity Name	Park Duvalle Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354361 PECOS PAC ID: 1658268974 Enrollment ID: O20040302000539

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. Mrs Miasha Renee Crutchfield 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
Mrs Miasha Renee Crutchfield, APRN 3015 Wilson Ave, Louisville, KY 40211-1969 Ph: (502) 774-4401	Mrs Miasha Renee Crutchfield, APRN 3015 Wilson Ave, Louisville, KY 40211-1969 Ph: (502) 774-4401

Reviews and Comments

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Mrs Miasha Renee Crutchfield, APRN - Medicare Nurse Practitioner in Louisville, KY