Gwenivere Stanton Olsen, is a medicare enrolled "Advanced Practice Midwife" in Plymouth, Massachusetts. Her current practice location is
275 Sandwich St, Plymouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(909) 702-3935.
Gwenivere Stanton Olsen is licensed to practice in Massachusetts (license number RN2301907) 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 1760859375.
Provider's Profile
| Full Name | Gwenivere Stanton Olsen |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 275 Sandwich St, Plymouth, Massachusetts |
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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: 1760859375
- Provider Enumeration Date: 08/31/2015
- Last Update Date: 08/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 0547560971
- Enrollment ID: I20151207002877
Medical Identifiers
Medical identifiers for Gwenivere Stanton Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760859375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | RN2301907 (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. Gwenivere Stanton Olsen allows following entities to bill medicare on her behalf.
| Entity Name | Essex County Obgyn Assoc Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538275870
PECOS PAC ID: 6204829062
Enrollment ID: O20040407000041 |
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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. Gwenivere Stanton Olsen 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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Gwenivere Stanton Olsen,
40 Obery St, Attn: Kristy Glavin, Beth Israel Deaconess Obgyn,
Plymouth, MA 02360-2196
Ph: () - | Gwenivere Stanton Olsen,
275 Sandwich St,
Plymouth, MA 02360-2183
Ph: (909) 702-3935 |
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