Marisa Crommett Stevens, in Portland, ME - Medicare Nurse Practitioner

Marisa Crommett Stevens, is a medicare enrolled "Nurse Practitioner - Women's Health" in Portland, Maine. Her current practice location is 443 Congress St Fl 2, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (866) 476-1321.

Marisa Crommett Stevens is licensed to practice in New Hampshire (license number 081681-23) 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 1104461151.

Contact Information

	Marisa Crommett Stevens,
	443 Congress St Fl 2, Portland, ME 04101-3531
	(866) 476-1321
	(802) 660-9437

Map and Direction

Provider's Profile

Full Name	Marisa Crommett Stevens
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	443 Congress St Fl 2, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104461151
Provider Enumeration Date: 11/14/2019
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 7214357169
Enrollment ID: I20201015001394

Medical Identifiers

Medical identifiers for Marisa Crommett Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104461151	NPI	-	NPPES
3122699	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	081681-23 (New Hampshire)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	081681-23 (New Hampshire)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	081681-23 (New Hampshire)	Primary
363LP2300X	Nurse Practitioner - Primary Care	081681-23 (New Hampshire)	Secondary

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. Marisa Crommett Stevens allows following entities to bill medicare on her behalf.

Entity Name	Planned Parenthood Of Northern New England, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578529350 PECOS PAC ID: 8729069505 Enrollment ID: O20041116001051

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. Marisa Crommett Stevens 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
Marisa Crommett Stevens, 784 Hercules Dr Ste 110, Colchester, VT 05446-8049 Ph: (802) 210-5953	Marisa Crommett Stevens, 443 Congress St Fl 2, Portland, ME 04101-3531 Ph: (866) 476-1321

Reviews and Comments

Nurse Practitioner Nurses in Portland, ME

Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133

Marisa Crommett Stevens, - Medicare Nurse Practitioner in Portland, ME