Mrs Cornelia H Gonsalves, MSN,CPNP,APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Manchester, New Hampshire. Her current practice location is
275 Mammoth Rd Ste 2, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 325-1273.
Mrs Cornelia H Gonsalves is licensed to practice in New Hampshire (license number 074682-23) 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 1235219320.
Physician's Profile
Full Name | Mrs Cornelia H Gonsalves |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 275 Mammoth Rd Ste 2, Manchester, 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: 1235219320
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557445848
- Enrollment ID: I20170105001560
Medical Identifiers
Medical identifiers for Mrs Cornelia H Gonsalves such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235219320 | NPI | - | NPPES |
3106451 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080C0008X | Pediatrics - Child Abuse Pediatrics | 074682-23 (New Hampshire) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 074682-23 (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. Mrs Cornelia H Gonsalves allows following entities to bill medicare on her behalf.
Entity Name | Mary Hitchcock Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
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Entity Name | Elliot Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
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Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
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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. Mrs Cornelia H Gonsalves 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 |
Mrs Cornelia H Gonsalves, MSN,CPNP,APRN 275 Mammoth Rd Ste 2, Manchester, NH 03109-4133 Ph: (603) 325-1273 | Mrs Cornelia H Gonsalves, MSN,CPNP,APRN 275 Mammoth Rd Ste 2, Manchester, NH 03109-4133 Ph: (603) 325-1273 |
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