Breanna Lea Libby, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Beals, Maine. Her current practice location is
5 Libby Lane, Beals, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 598-6120.
Breanna Lea Libby is licensed to practice in Maine (license number CNP171113) 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 1104344134.
Provider's Profile
| Full Name | Breanna Lea Libby |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5 Libby Lane, Beals, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104344134
- Provider Enumeration Date: 08/30/2017
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426324278
- Enrollment ID: I20171023000303
Medical Identifiers
Medical identifiers for Breanna Lea Libby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104344134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CNP171113 (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. Breanna Lea Libby allows following entities to bill medicare on her behalf.
| Entity Name | Breanna Libby Fnp-bc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497459069
PECOS PAC ID: 7618320904
Enrollment ID: O20240202001913 |
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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. Breanna Lea Libby 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 |
|---|
Breanna Lea Libby, FNP-BC
298 Main St,
Jonesport, ME 04649-3345
Ph: (207) 598-9648 | Breanna Lea Libby, FNP-BC
5 Libby Lane,
Beals, ME 04611
Ph: (207) 598-6120 |
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