Mrs Effien King, FNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Pawtucket, Rhode Island. Her current practice location is
126 Prospect St Ste 105, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 753-2526.
Mrs Effien King is licensed to practice in Rhode Island (license number APRN02620) 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 1518511021.
Provider's Profile
| Full Name | Mrs Effien King |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family |
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| Location | 126 Prospect St Ste 105, Pawtucket, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518511021
- Provider Enumeration Date: 08/01/2019
- Last Update Date: 09/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335570704
- Enrollment ID: I20200519002529
Medical Identifiers
Medical identifiers for Mrs Effien King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518511021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F06192202 (Rhode Island) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | APRN02620 (Rhode Island) | 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 Effien King allows following entities to bill medicare on her behalf.
| Entity Name | Pvd Cares Wellness Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063059244
PECOS PAC ID: 8426489899
Enrollment ID: O20200519002376 |
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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 Effien King 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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Mrs Effien King, FNP
143 Longwood Ave,
Providence, RI 02908-1121
Ph: (323) 770-6210 | Mrs Effien King, FNP
126 Prospect St Ste 105,
Pawtucket, RI 02860-4429
Ph: (401) 753-2526 |
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