Christine Marie Coughlin, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Warren, Rhode Island. Her current practice location is
851 Main St, Warren, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 247-1000.
Christine Marie Coughlin is licensed to practice in Rhode Island (license number RN62010) 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 1346865953.
Provider's Profile
| Full Name | Christine Marie Coughlin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 851 Main St, Warren, Rhode Island |
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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: 1346865953
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 10/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890112890
- Enrollment ID: I20200903003090
Medical Identifiers
Medical identifiers for Christine Marie Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346865953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN62010 (Rhode Island) | 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. Christine Marie Coughlin allows following entities to bill medicare on her behalf.
| Entity Name | Prospect Chartercare Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629493135
PECOS PAC ID: 0840416657
Enrollment ID: O20140730001883 |
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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. Christine Marie Coughlin 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 |
|---|
Christine Marie Coughlin, FNP-BC
851 Main St,
Warren, RI 02885-4402
Ph: (401) 247-1000 | Christine Marie Coughlin, FNP-BC
851 Main St,
Warren, RI 02885-4402
Ph: (401) 247-1000 |
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