Michaela Ann Maynard, APRN - Medicare Nurse Practitioner in Providence, RI

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Michaela Ann Maynard, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Providence, Rhode Island. She went to Yale University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Rhode Island Public Health Foundation and her current practice location is 1125 N Main St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 793-2928.

Michaela Ann Maynard is licensed to practice in Rhode Island (license number CAPRN01596) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083090849.

Contact Information

Michaela Ann Maynard, APRN
1125 N Main St,
Providence, RI 02904-5739
(401) 793-2928
Not Available

Map and Direction




Provider's Profile

Full NameMichaela Ann Maynard
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1125 N Main St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michaela Ann Maynard attended and graduated from Yale University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1083090849
  • Provider Enumeration Date: 08/04/2015
  • Last Update Date: 11/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375852569
  • Enrollment ID: I20180306002639

Medical Identifiers

Medical identifiers for Michaela Ann Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083090849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN2302797 (Massachusetts)Secondary
363LA2200XNurse Practitioner - Adult Health CAPRN01596 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Rhode Island Public Health Foundation78103245975

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. Michaela Ann Maynard allows following entities to bill medicare on her behalf.
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1275810434
PECOS PAC ID: 6901796408
Enrollment ID: O20120405000306
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105
Entity NameThe Rhode Island Public Health Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669024329
PECOS PAC ID: 7810324597
Enrollment ID: O20200218002081

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. Michaela Ann Maynard 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 AddressPractice Location Address
Michaela Ann Maynard, APRN
1125 N Main St,
Providence, RI 02904-5739

Ph: (401) 793-2928		Michaela Ann Maynard, APRN
1125 N Main St,
Providence, RI 02904-5739

Ph: (401) 793-2928

Reviews and Comments


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Mrs. Halina Kuc-mazgaj,
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Phina A Mayu, NP
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Phone: 401-274-1122    Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP
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Phone: 401-273-7100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.