Miss Theresa M Pequeen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Delevan, New York. Her current practice location is
38 N Main St, Delevan, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 707-7040.
Miss Theresa M Pequeen is licensed to practice in New York (license number F337625-1) 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 1720328412.
Provider's Profile
Full Name | Miss Theresa M Pequeen |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 38 N Main St, Delevan, New York |
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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: 1720328412
- Provider Enumeration Date: 02/18/2013
- Last Update Date: 02/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 3577703867
- Enrollment ID: I20130710000249
Medical Identifiers
Medical identifiers for Miss Theresa M Pequeen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720328412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F337625-1 (New York) | 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. Miss Theresa M Pequeen allows following entities to bill medicare on her behalf.
Entity Name | Olean General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531 |
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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. Miss Theresa M Pequeen 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 |
Miss Theresa M Pequeen, FNP 38 N Main St, Delevan, NY 14042-9501 Ph: (716) 707-7040 | Miss Theresa M Pequeen, FNP 38 N Main St, Delevan, NY 14042-9501 Ph: (716) 707-7040 |
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