Gairlande Audiesse-vital, NP in Brockton, MA - Medicare Nurse Practitioner

Gairlande Audiesse-vital, NP is a medicare enrolled "Nurse Practitioner - Family" in Brockton, Massachusetts. Her current practice location is 10 Meadowbrook Rd, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 408-9220.

Gairlande Audiesse-vital is licensed to practice in Massachusetts (license number 258891) 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 1477893071.

Contact Information

	Gairlande Audiesse-vital, NP
	10 Meadowbrook Rd, Brockton, MA 02301-7122
	(508) 408-9220
	(781) 995-3586

Map and Direction

Provider's Profile

Full Name	Gairlande Audiesse-vital
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10 Meadowbrook Rd, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477893071
Provider Enumeration Date: 02/20/2013
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7618266008
Enrollment ID: I20160525002317

Medical Identifiers

Medical identifiers for Gairlande Audiesse-vital such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477893071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	258891 (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. Gairlande Audiesse-vital allows following entities to bill medicare on her behalf.

Entity Name	Boston University Psychiatry Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073619854 PECOS PAC ID: 7911805361 Enrollment ID: O20031223000346

Entity Name	Evans Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912954124 PECOS PAC ID: 7416946546 Enrollment ID: O20040512000397

Entity Name	Bond Medical Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629479472 PECOS PAC ID: 1759606338 Enrollment ID: O20150203001604

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. Gairlande Audiesse-vital 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
Gairlande Audiesse-vital, NP 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: () -	Gairlande Audiesse-vital, NP 10 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (508) 408-9220

Reviews and Comments

Nurse Practitioner Nurses in Brockton, MA

Christine Nichole Lattuada, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578
Rebecca Match, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Meadowbrook Rd, Brockton, MA 02301 Phone: 508-638-6006
Jessica Santiccioli, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 529 Pearl St, Brockton, MA 02301 Phone: 617-922-4626
Mrs. Henrietta Amaka Ewuzie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Heritage Ct, Brockton, MA 02302 Phone: 857-233-1890
Mrs. Rena B Levy, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0412
Lauren Kaplan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1324 Belmont St Ste 105, Brockton, MA 02301 Phone: 617-571-6732

Gairlande Audiesse-vital, NP - Medicare Nurse Practitioner in Brockton, MA