Connor Rezzonico, PMHNP in Coeur D Alene, ID - Medicare Nurse Practitioner

Connor Rezzonico, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coeur D Alene, Idaho. His current practice location is 1038 Northwest Blvd, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 620-5210.

Connor Rezzonico is licensed to practice in Idaho (license number 74368) 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 1063184968.

Contact Information

	Connor Rezzonico, PMHNP
	1038 Northwest Blvd, Coeur D Alene, ID 83814-2249
	(208) 620-5210
	(844) 803-7399

Map and Direction

Provider's Profile

Full Name	Connor Rezzonico
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1038 Northwest Blvd, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063184968
Provider Enumeration Date: 09/29/2021
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 8729458690
Enrollment ID: I20230111000009

Medical Identifiers

Medical identifiers for Connor Rezzonico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063184968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	40375 (Wyoming)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	74368 (Idaho)	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. Connor Rezzonico allows following entities to bill medicare on his behalf.

Entity Name	Dirne Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041

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. Connor Rezzonico 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
Connor Rezzonico, PMHNP Po Box 1387, Hayden, ID 83835-1387 Ph: (208) 620-5250	Connor Rezzonico, PMHNP 1038 Northwest Blvd, Coeur D Alene, ID 83814-2249 Ph: (208) 620-5210

Reviews and Comments

Nurse Practitioner Nurses in Coeur D Alene, ID

Deborah Magnuson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782
Elizabeth Lynn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 N 3rd St Ste 12, Coeur D Alene, ID 83814 Phone: 208-261-2411 Fax: 866-291-4766
Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1983 E Lookout Dr, Coeur D Alene, ID 83815 Phone: 208-964-0701
Mary Sandra Duff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-4557 Fax: 208-765-2887
Ms. Kristina Marie Follger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5441
Robin Marie Beard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814 Phone: 208-625-3640 Fax: 208-625-3645
Raquel Joye Lins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288

Connor Rezzonico, PMHNP - Medicare Nurse Practitioner in Coeur D Alene, ID