Fanta Freeman, CNM is a medicare enrolled "Advanced Practice Midwife" in Cranston, Rhode Island. Her current practice location is
1150 Reservoir Ave Ste 300, Cranston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 223-2828.
Fanta Freeman is licensed to practice in Rhode Island (license number CNM00203) 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 1881147569.
Provider's Profile
| Full Name | Fanta Freeman |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1150 Reservoir Ave Ste 300, Cranston, 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: 1881147569
- Provider Enumeration Date: 07/28/2016
- Last Update Date: 06/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143762591
- Enrollment ID: I20240613000028
Medical Identifiers
Medical identifiers for Fanta Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881147569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | CNM00203 (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. Fanta Freeman allows following entities to bill medicare on her behalf.
| Entity Name | Venus Ob-gyn Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104338508
PECOS PAC ID: 5092075226
Enrollment ID: O20180208002583 |
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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. Fanta Freeman 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 |
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Fanta Freeman, CNM
1150 Reservoir Ave Ste 300,
Cranston, RI 02920-6032
Ph: (401) 223-2828 | Fanta Freeman, CNM
1150 Reservoir Ave Ste 300,
Cranston, RI 02920-6032
Ph: (401) 223-2828 |
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