Carolyn M Coughlan, APRN in Lynn, MA - Medicare Nurse Practitioner

Carolyn M Coughlan, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lynn, Massachusetts. Her current practice location is 269 Union St, Lynn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 581-3900.

Carolyn M Coughlan is licensed to practice in Massachusetts (license number RN282087) 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 1750638482.

Contact Information

	Carolyn M Coughlan, APRN
	269 Union St, Lynn, MA 01901-1314
	(781) 581-3900
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn M Coughlan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	269 Union St, Lynn, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750638482
Provider Enumeration Date: 08/13/2012
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 5799050027
Enrollment ID: I20221116000934

Medical Identifiers

Medical identifiers for Carolyn M Coughlan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750638482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	RN282087 (Massachusetts)	Primary
364SP0200X	Clinical Nurse Specialist - Pediatrics	066702-23 (New Hampshire)	Secondary

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. Carolyn M Coughlan allows following entities to bill medicare on her behalf.

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332

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. Carolyn M Coughlan 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
Carolyn M Coughlan, APRN 25 Buttrick Rd Bldg E, Londonderry, NH 03053-3352 Ph: (603) 437-1003	Carolyn M Coughlan, APRN 269 Union St, Lynn, MA 01901-1314 Ph: (781) 581-3900

Reviews and Comments

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Jocelyne Destine Marcellus, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 269 Union St, Lynn, MA 01901 Phone: 781-596-2502
Mr. Porleng Hong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 Market Sq, Lynn, MA 01905 Phone: 781-596-3500
Melinda D Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 269 Union St, Lynn, MA 01901 Phone: 781-581-3900
Karen Letourneau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Porter St, Lynn, MA 01902 Phone: 781-599-3925 Fax: 781-599-4204
Miss Sarah Elisabeth Ziobro, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 480 Lynnfield St, Lynn, MA 01904 Phone: 781-593-3400

Carolyn M Coughlan, APRN - Medicare Nurse Practitioner in Lynn, MA