Anthony B Centlivre, in Fort Wayne, IN - Medicare Nurse Practitioner

Anthony B Centlivre, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Wayne, Indiana. His current practice location is 201 E Rudisill Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (888) 470-0082.

Anthony B Centlivre is licensed to practice in Indiana (license number 71012957A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255051231.

Contact Information

	Anthony B Centlivre,
	201 E Rudisill Blvd, Fort Wayne, IN 46806-1738
	(888) 470-0082
	Not Available

Map and Direction

Provider's Profile

Full Name	Anthony B Centlivre
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	201 E Rudisill Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255051231
Provider Enumeration Date: 08/31/2022
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 6406226216
Enrollment ID: I20230111002317

Medical Identifiers

Medical identifiers for Anthony B Centlivre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255051231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71012957A (Indiana)	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. Anthony B Centlivre allows following entities to bill medicare on his behalf.

Entity Name	The Otis R Bowen Center For Human Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

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. Anthony B Centlivre 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
Anthony B Centlivre, 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: (574) 267-7169	Anthony B Centlivre, 201 E Rudisill Blvd, Fort Wayne, IN 46806-1738 Ph: (888) 470-0082

Reviews and Comments

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Anthony B Centlivre, - Medicare Nurse Practitioner in Fort Wayne, IN