Mrs Denise Marie Proctor, FNP is a medicare enrolled "Nurse Practitioner - Family" in Southampton, New Jersey. Her current practice location is
14 Oxford Cir, Southampton, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 388-4585.
Mrs Denise Marie Proctor is licensed to practice in New Jersey (license number 26NJ00403200) 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 1104163674.
Provider's Profile
Full Name | Mrs Denise Marie Proctor |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 14 Oxford Cir, Southampton, New Jersey |
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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: 1104163674
- Provider Enumeration Date: 01/03/2013
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234384876
- Enrollment ID: I20130305000027
Medical Identifiers
Medical identifiers for Mrs Denise Marie Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104163674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 26NJ00403200 (New Jersey) | 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. Mrs Denise Marie Proctor allows following entities to bill medicare on her behalf.
Entity Name | Kennedy Medical Group Practice, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
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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. Mrs Denise Marie Proctor 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 |
Mrs Denise Marie Proctor, FNP 14 Oxford Cir, Southampton, NJ 08088-3579 Ph: () - | Mrs Denise Marie Proctor, FNP 14 Oxford Cir, Southampton, NJ 08088-3579 Ph: (609) 388-4585 |
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