Nicole Maher-whiteside, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Berlin, New Hampshire. Her current practice location is
3 Twelfth St, Berlin, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 752-7404.
Nicole Maher-whiteside is licensed to practice in New Hampshire (license number 739) 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 1811103039.
Healthcare Provider's Profile
Full Name | Nicole Maher-whiteside |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 3 Twelfth St, Berlin, New Hampshire |
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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: 1811103039
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5890871008
- Enrollment ID: I20080328000233
Medical Identifiers
Medical identifiers for Nicole Maher-whiteside such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811103039 | NPI | - | NPPES |
30347179 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 186 (New Hampshire) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 739 (New Hampshire) | 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. Nicole Maher-whiteside allows following entities to bill medicare on her behalf.
Entity Name | Saco River Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861587453 PECOS PAC ID: 7911817291 Enrollment ID: O20040623000272 |
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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. Nicole Maher-whiteside 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 |
Nicole Maher-whiteside, APRN 87 Washington St, Conway, NH 03818-6044 Ph: (603) 447-3347 | Nicole Maher-whiteside, APRN 3 Twelfth St, Berlin, NH 03570-3860 Ph: (603) 752-7404 |
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