Olivia Opal Fleetwood, DNP, CRNA in Portland, ME - Medicare Nurse Anesthetist, Certified Registered

Olivia Opal Fleetwood, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Maine. Her current practice location is 175 Fore River Pkwy, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 879-3000.

Olivia Opal Fleetwood is licensed to practice in Maine (license number RNA233010) 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 1609569748.

Contact Information

	Olivia Opal Fleetwood, DNP, CRNA
	175 Fore River Pkwy, Portland, ME 04102-2779
	(207) 879-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Olivia Opal Fleetwood
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	175 Fore River Pkwy, 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: 1609569748
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4789042334
Enrollment ID: I20230614002262

Medical Identifiers

Medical identifiers for Olivia Opal Fleetwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609569748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA233010 (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. Olivia Opal Fleetwood allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943

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. Olivia Opal Fleetwood 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
Olivia Opal Fleetwood, DNP, CRNA 94 Mellen St Ste 1, Portland, ME 04101-2141 Ph: (740) 803-0615	Olivia Opal Fleetwood, DNP, CRNA 175 Fore River Pkwy, Portland, ME 04102-2779 Ph: (207) 879-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, ME

Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111
Veronica Resendez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2526
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Katherine Mercedes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236

Olivia Opal Fleetwood, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Portland, ME