Michelle Dedon, is a medicare enrolled "Nurse Practitioner - Family" in Spencer, Massachusetts. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightstar Health And Wellness Services and her current practice location is
139 Main Street, Spencer, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(774) 227-3556.
Michelle Dedon is licensed to practice in Massachusetts (license number RN262213) 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 1669960274.
Provider's Profile
| Full Name | Michelle Dedon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 139 Main Street, Spencer, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Dedon graduated from nursing school in 2018
NPI Data:
- NPI Number: 1669960274
- Provider Enumeration Date: 04/30/2018
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941559108
- Enrollment ID: I20180821002304
Medical Identifiers
Medical identifiers for Michelle Dedon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669960274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 262213 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN262213 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brightstar Health And Wellness Services | 6507245461 | 3 |
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. Michelle Dedon allows following entities to bill medicare on her behalf.
| Entity Name | Western Mass Physician Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922009547
PECOS PAC ID: 5799767109
Enrollment ID: O20040601000909 |
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| Entity Name | Brightstar Health And Wellness Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588322390
PECOS PAC ID: 6507245461
Enrollment ID: O20220623000707 |
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| Entity Name | Primary Care Of The Brookfieldspllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750135216
PECOS PAC ID: 3274975875
Enrollment ID: O20240529000423 |
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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. Michelle Dedon 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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Michelle Dedon,
139 Main Street,
Spencer, MA 01562
Ph: (774) 227-3556 | Michelle Dedon,
139 Main Street,
Spencer, MA 01562
Ph: (774) 227-3556 |
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