Alfonsine T Mofor, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Laconia, New Hampshire. Her current practice location is
80 Highland St, Laconia, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 524-3211.
Alfonsine T Mofor is licensed to practice in New York (license number 341229) 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 1609263383.
Physician's Profile
Full Name | Alfonsine T Mofor |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 80 Highland St, Laconia, 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: 1609263383
- Provider Enumeration Date: 04/21/2015
- Last Update Date: 01/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739491325
- Enrollment ID: I20170114000055
Medical Identifiers
Medical identifiers for Alfonsine T Mofor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609263383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | RN1022985 (District Of Columbia) | Secondary |
208M00000X | Hospitalist | 020222150 (New Hampshire) | Secondary |
363LF0000X | Nurse Practitioner - Family | 071452-23 (New Hampshire) | Secondary |
363LF0000X | Nurse Practitioner - Family | 341229 (New York) | 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. Alfonsine T Mofor allows following entities to bill medicare on her behalf.
Entity Name | Medical Faculty Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
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Entity Name | Washington Hospital Center Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407870124 PECOS PAC ID: 3577476266 Enrollment ID: O20040630000173 |
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Entity Name | District Hospital Partners L P |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487640207 PECOS PAC ID: 0345334785 Enrollment ID: O20110718000242 |
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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. Alfonsine T Mofor 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 |
Alfonsine T Mofor, APRN Po Box 1327, Laconia, NH 03247-1327 Ph: (603) 524-3211 | Alfonsine T Mofor, APRN 80 Highland St, Laconia, NH 03246-3235 Ph: (603) 524-3211 |
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