Mrs Kathleen Blake Maynard, NP in North Conway, NH

Mrs Kathleen Blake Maynard, NP is a medicare enrolled "Nurse Practitioner - Family" in North Conway, New Hampshire. Her current practice location is 3073 White Mountain Hwy, Primary Care, Memorial Hospital, North Conway, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 356-5461.

Mrs Kathleen Blake Maynard is licensed to practice in New Hampshire (license number 067211-23) 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 1043651623.

Contact Information

	Mrs Kathleen Blake Maynard, NP
	3073 White Mountain Hwy, Primary Care, Memorial Hospital, North Conway, NH 03860-7101
	(603) 356-5461
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kathleen Blake Maynard
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3073 White Mountain Hwy, North Conway, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043651623
Provider Enumeration Date: 07/11/2013
Last Update Date: 07/11/2013

Medicare PECOS Information:

PECOS PAC ID: 0446488332
Enrollment ID: I20140123000946

Medical Identifiers

Medical identifiers for Mrs Kathleen Blake Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043651623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	067211-23 (New Hampshire)	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 Kathleen Blake Maynard allows following entities to bill medicare on her behalf.

Entity Name	Saco River Medical Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861587453 PECOS PAC ID: 7911817291 Enrollment ID: O20040623000272

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 Kathleen Blake 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 Address	Practice Location Address
Mrs Kathleen Blake Maynard, NP 3073 White Mountain Hwy, Po Box 5001, North Conway, NH 03860-7101 Ph: (603) 356-5461	Mrs Kathleen Blake Maynard, NP 3073 White Mountain Hwy, Primary Care, Memorial Hospital, North Conway, NH 03860-7101 Ph: (603) 356-5461

Reviews and Comments

Nurse Practitioner Nurses in North Conway, NH

Kimberly S. Macdermott, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5472 Fax: 603-356-9647
Linda J Barton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461
Jennifer Winthrop Golkowski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-0796
Zachary Stephen Sevigny, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461
Charisse N. Hirschfeld, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5472
Justine Fierman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, Memorial Hospital, North Conway, NH 03860 Phone: 603-356-4949

Mrs Kathleen Blake Maynard, NP - Medicare Nurse Practitioner in North Conway, NH