Ms Pamala Sue Pellon-irwin, FNP APRN BC is a medicare enrolled "Nurse Practitioner - Family" in Patten, Maine. Her current practice location is
529 S Patten Rd, Patten, Maine. You can reach out to her office (for appointments etc.) via phone at
(866) 366-5842.
Ms Pamala Sue Pellon-irwin is licensed to practice in Maine (license number CNP81229) 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 1770665986.
Provider's Profile
| Full Name | Ms Pamala Sue Pellon-irwin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 529 S Patten Rd, Patten, Maine |
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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: 1770665986
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628174513
- Enrollment ID: I20070808000607
Medical Identifiers
Medical identifiers for Ms Pamala Sue Pellon-irwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770665986 | NPI | - | NPPES |
| R043787 | Other | ME | MAINE STATE BOARD OF NURS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | CNP81229 (Maine) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R043787 (Maine) | Secondary |
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. Ms Pamala Sue Pellon-irwin allows following entities to bill medicare on her behalf.
| Entity Name | Katahdin Valley Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376618546
PECOS PAC ID: 4880659903
Enrollment ID: O20041130000688 |
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| Entity Name | Franklin Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558305847
PECOS PAC ID: 4385615145
Enrollment ID: O20090805000364 |
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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. Ms Pamala Sue Pellon-irwin 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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Ms Pamala Sue Pellon-irwin, FNP APRN BC
Po Box 1599,
Bangor, ME 04402-1599
Ph: (207) 992-2601 | Ms Pamala Sue Pellon-irwin, FNP APRN BC
529 S Patten Rd,
Patten, ME 04765-3007
Ph: (866) 366-5842 |
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