E Majema Massenburg-corry, NP is a medicare enrolled "Nurse Practitioner" physician in Providence, Rhode Island. Her current practice location is
593 Eddy Street, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 519-1604.
E Majema Massenburg-corry is licensed to practice in Rhode Island (license number NPP21164) 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 1427156801.
Physician's Profile
Full Name | E Majema Massenburg-corry |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 593 Eddy Street, Providence, Rhode Island |
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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: 1427156801
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 08/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 8022908144
- Enrollment ID: I20040319001029
Medical Identifiers
Medical identifiers for E Majema Massenburg-corry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427156801 | NPI | - | NPPES |
05012011 | Other | RI | BCBSRI |
05012011 | Other | RI | UNITED HEALTHCARE |
06282011 | Other | RI | TRICARE |
939025129 | Other | RI | RI MEDICARE GROUP |
110088777A | Medicaid | MA | |
0070086901 | Other | RI | RI MEDICARE |
05-05-2011 | Other | RI | NHPRI |
EM07495 | Medicaid | RI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | NPP21164 (Rhode Island) | Secondary |
363L00000X | Nurse Practitioner | NPP21164 (Rhode Island) | 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. E Majema Massenburg-corry allows following entities to bill medicare on her behalf.
Entity Name | Prime Healthcare Services Landmark Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518388651 PECOS PAC ID: 3274761069 Enrollment ID: O20140428000588 |
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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. E Majema Massenburg-corry 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 |
E Majema Massenburg-corry, NP Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | E Majema Massenburg-corry, NP 593 Eddy Street, Providence, RI 02903-4923 Ph: (401) 519-1604 |
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