Takeyah Rosenthall, FNP in Kendallville, IN - Medicare Nurse Practitioner

Takeyah Rosenthall, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kendallville, Indiana. Her current practice location is 1732 W North St, Kendallville, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 544-8054.

Takeyah Rosenthall is licensed to practice in Indiana (license number 71014019A) 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 1275218083.

Contact Information

	Takeyah Rosenthall, FNP
	1732 W North St, Kendallville, IN 46755-2850
	(260) 544-8054
	Not Available

Map and Direction

Provider's Profile

Full Name	Takeyah Rosenthall
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1732 W North St, Kendallville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275218083
Provider Enumeration Date: 06/19/2023
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8123486123
Enrollment ID: I20230623001065

Medical Identifiers

Medical identifiers for Takeyah Rosenthall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275218083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71014019A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71014019A (Indiana)	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. Takeyah Rosenthall allows following entities to bill medicare on her behalf.

Entity Name	Pic Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110

Entity Name	Fc Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491

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. Takeyah Rosenthall 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
Takeyah Rosenthall, FNP 1732 W North St, Kendallville, IN 46755-2850 Ph: (931) 253-1110	Takeyah Rosenthall, FNP 1732 W North St, Kendallville, IN 46755-2850 Ph: (260) 544-8054

Reviews and Comments

Nurse Practitioner Nurses in Kendallville, IN

Mrs. Elizabeth Anne Mysliwiec, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1732 W North St, Kendallville, IN 46755 Phone: 260-544-8054 Fax: 260-544-8055
Alissa Anglemyer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 N Sawyer Rd, Kendallville, IN 46755 Phone: 918-931-0861
Jessica R Ramer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-349-9166 Fax: 260-343-9041
Wendy J Walmsley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-347-8030 Fax: 260-347-8035
Lauren Kay Carlisle, APRN, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1732 W North St, Kendallville, IN 46755 Phone: 931-253-1110
Mrs. Barbara Ann Chivers, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1844 Ida Red Rd, Kendallville, IN 46755 Phone: 260-347-8810
Connie S. Cole, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5900 E 500 N, Kendallville, IN 46755 Phone: 260-349-8185

Takeyah Rosenthall, FNP - Medicare Nurse Practitioner in Kendallville, IN