Betty Bricker Small, ANP in Portland, ME - Medicare Nurse Practitioner

Betty Bricker Small, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Portland, Maine. Her current practice location is 50 Sewall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 775-3526.

Betty Bricker Small is licensed to practice in Maine (license number R035597) 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 1164461307.

Contact Information

	Betty Bricker Small, ANP
	50 Sewall St, Portland, ME 04102-2624
	(207) 775-3526
	(207) 775-5658

Map and Direction

Provider's Profile

Full Name	Betty Bricker Small
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	50 Sewall St, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164461307
Provider Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2365447703
Enrollment ID: I20060919000195

Medical Identifiers

Medical identifiers for Betty Bricker Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164461307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R035597 (Maine)	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. Betty Bricker Small allows following entities to bill medicare on her behalf.

Entity Name	Portland Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609120856 PECOS PAC ID: 5395998017 Enrollment ID: O20130206000120

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. Betty Bricker Small 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
Betty Bricker Small, ANP 50 Sewall St, Portland, ME 04102-2624 Ph: (207) 775-3526	Betty Bricker Small, ANP 50 Sewall St, Portland, ME 04102-2624 Ph: (207) 775-3526

Reviews and Comments

Nurse Practitioner Nurses in Portland, ME

Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133

Betty Bricker Small, ANP - Medicare Nurse Practitioner in Portland, ME