Marylou Cassidy, APRN is a medicare enrolled "Nurse Practitioner - Family" in Dublin, New Hampshire. Her current practice location is
1283 Main St Unit 6c, Dublin, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 831-1191.
Marylou Cassidy is licensed to practice in New Hampshire (license number 046567-23) 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 1689934945.
Provider's Profile
Full Name | Marylou Cassidy |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1283 Main St Unit 6c, Dublin, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689934945
- Provider Enumeration Date: 05/21/2012
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850548348
- Enrollment ID: I20201211002234
Medical Identifiers
Medical identifiers for Marylou Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689934945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 046567-23 (New Hampshire) | 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. Marylou Cassidy allows following entities to bill medicare on her behalf.
Entity Name | Integrative Health & Wellness Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114536877 PECOS PAC ID: 6002228210 Enrollment ID: O20201211002156 |
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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. Marylou Cassidy 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 |
Marylou Cassidy, APRN 21 Reaveley Rd, Hancock, NH 03449-5501 Ph: (603) 525-4786 | Marylou Cassidy, APRN 1283 Main St Unit 6c, Dublin, NH 03444-8249 Ph: (603) 831-1191 |
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