We bill for serveral NP's and PA's and have not had problems with insurance companies limiting them in an office setting. We do know that some insurance companies require they be credentialed and will not allow incident to billing like Medicare does. I recommend that you check with each ins co to determine what their rules are. I have been told that with Medicare you can swap back and forth between billing under the physician and billing with the PA or NP's number. If they are performing incident to bill under the physician for higher reimbursement and only bill thru their own number when you do not meet incident to guidelines. Good Luck!
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