Destiny Evangeline Fillmore, in Reading, MA

Destiny Evangeline Fillmore, is a medicare enrolled "Registered Nurse" in Reading, Massachusetts. Her current practice location is 451 Lowell St, Reading, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 248-8569.

Destiny Evangeline Fillmore is licensed to practice in Massachusetts (license number RN2295954) 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 1992479166.

Contact Information

	Destiny Evangeline Fillmore,
	451 Lowell St, Reading, MA 01867-1533
	(781) 248-8569
	Not Available

Map and Direction

Provider's Profile

Full Name	Destiny Evangeline Fillmore
Gender	Female
Speciality	Registered Nurse
Location	451 Lowell St, Reading, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992479166
Provider Enumeration Date: 08/02/2021
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID: 5890176408
Enrollment ID: I20230316001167

Medical Identifiers

Medical identifiers for Destiny Evangeline Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992479166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2295954 (Massachusetts)	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. Destiny Evangeline Fillmore allows following entities to bill medicare on her behalf.

Entity Name	Winchester Physician Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184606865 PECOS PAC ID: 4486540994 Enrollment ID: O20060215000452

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. Destiny Evangeline Fillmore 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
Destiny Evangeline Fillmore, 451 Lowell St, Reading, MA 01867-1533 Ph: (781) 248-8569	Destiny Evangeline Fillmore, 451 Lowell St, Reading, MA 01867-1533 Ph: (781) 248-8569

Reviews and Comments

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Destiny Evangeline Fillmore, - Medicare Registered Nurse in Reading, MA