Nancy J Crouse, CNP is a medicare enrolled "Nurse Practitioner" in Farmington, Illinois. She graduated from nursing school in 2002 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Graham Hospital Association and her current practice location is
601 E Fort St, Farmington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 647-0201.
Nancy J Crouse is licensed to practice in Illinois (license number 209004472) 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 1821106345.
Provider's Profile
| Full Name | Nancy J Crouse |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 601 E Fort St, Farmington, Illinois |
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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:
- Nancy J Crouse graduated from nursing school in 2002
NPI Data:
- NPI Number: 1821106345
- Provider Enumeration Date: 08/25/2006
- Last Update Date: 04/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799866844
- Enrollment ID: I20080115000686
Medical Identifiers
Medical identifiers for Nancy J Crouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821106345 | NPI | - | NPPES |
| 0062839 | Other | IL | UMWA |
| 02922981 | Other | IL | BCBS |
| 200397 | Other | IL | BLACK LUNG |
| 209004472 | Medicaid | IL | |
| CG5172 | Other | IL | RR MEDICARE GROUP# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 209004472 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Graham Hospital Association | 2769375021 | 95 |
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. Nancy J Crouse allows following entities to bill medicare on her behalf.
| Entity Name | Graham Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040510000873 |
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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. Nancy J Crouse 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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Nancy J Crouse, CNP
180 S Main St,
Canton, IL 61520-2608
Ph: (309) 647-0201 | Nancy J Crouse, CNP
601 E Fort St,
Farmington, IL 61531-1338
Ph: (309) 647-0201 |
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