Maryam Egenolf, NP in Bloomington, IN - Medicare Nurse Practitioner

Maryam Egenolf, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Bloomington, Indiana. Her current practice location is 2651 E Discovery Pkwy, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 918-3400.

Maryam Egenolf is licensed to practice in Indiana (license number 71012571A) 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 1497336176.

Contact Information

	Maryam Egenolf, NP
	2651 E Discovery Pkwy, Bloomington, IN 47408-9059
	(812) 918-3400
	(812) 335-7371

Map and Direction

Provider's Profile

Full Name	Maryam Egenolf
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	2651 E Discovery Pkwy, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497336176
Provider Enumeration Date: 04/15/2021
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 8426444662
Enrollment ID: I20220415000238

Medical Identifiers

Medical identifiers for Maryam Egenolf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497336176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	F421487-01 (New York)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	71012571A (Indiana)	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. Maryam Egenolf allows following entities to bill medicare on her behalf.

Entity Name	Medical Care For Women Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942475793 PECOS PAC ID: 5193786663 Enrollment ID: O20041019001145

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. Maryam Egenolf 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
Maryam Egenolf, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Maryam Egenolf, NP 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 918-3400

Reviews and Comments

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Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290
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Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900

Maryam Egenolf, NP - Medicare Nurse Practitioner in Bloomington, IN