Rachel Erin Rousselle, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Ridgely, Maryland. Her current practice location is
118 N Central Ave, Ridgely, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 634-9153.
Rachel Erin Rousselle is licensed to practice in Maryland (license number R225852) 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 1790530103.
Provider's Profile
Full Name | Rachel Erin Rousselle |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 118 N Central Ave, Ridgely, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790530103
- Provider Enumeration Date: 04/19/2024
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365975802
- Enrollment ID: I20241023000982
Medical Identifiers
Medical identifiers for Rachel Erin Rousselle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790530103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R225852 (Maryland) | 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. Rachel Erin Rousselle allows following entities to bill medicare on her behalf.
Entity Name | Choptank Community Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356388599 PECOS PAC ID: 0648189274 Enrollment ID: O20040128000303 |
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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. Rachel Erin Rousselle 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 |
Rachel Erin Rousselle, CRNP 118 N Central Ave, Ridgely, MD 21660-1345 Ph: (410) 634-9153 | Rachel Erin Rousselle, CRNP 118 N Central Ave, Ridgely, MD 21660-1345 Ph: (410) 634-9153 |
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