Nicholas D Pennell, FNP in Portland, ME - Medicare Nurse Practitioner

Nicholas D Pennell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Maine. His current practice location is 1321 Washington Ave, 301, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 780-6565.

Nicholas D Pennell is licensed to practice in Maine (license number R049269) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053368993.

Contact Information

	Nicholas D Pennell, FNP
	1321 Washington Ave, 301, Portland, ME 04103-3636
	(207) 780-6565
	(207) 878-6565

Map and Direction

Provider's Profile

Full Name	Nicholas D Pennell
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1321 Washington Ave, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053368993
Provider Enumeration Date: 05/27/2006
Last Update Date: 07/25/2013

Medicare PECOS Information:

PECOS PAC ID: 4486662004
Enrollment ID: I20060323000405

Medical Identifiers

Medical identifiers for Nicholas D Pennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053368993	NPI	-	NPPES
30347108	Medicaid	NH
433046299	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R049269 (Maine)	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. Nicholas D Pennell allows following entities to bill medicare on his behalf.

Entity Name	Tapestry Telehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20190321001842

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. Nicholas D Pennell 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
Nicholas D Pennell, FNP 1321 Washington Ave, 301, Portland, ME 04103-3636 Ph: (207) 780-6565	Nicholas D Pennell, FNP 1321 Washington Ave, 301, Portland, ME 04103-3636 Ph: (207) 780-6565

Reviews and Comments

Nurse Practitioner Nurses in Portland, ME

Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133

Nicholas D Pennell, FNP - Medicare Nurse Practitioner in Portland, ME