Pamela Renee Maxwell, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Jane Lew, West Virginia. Her current practice location is
533 Hackers Creek Rd, Jane Lew, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 884-8941.
Pamela Renee Maxwell is licensed to practice in West Virginia (license number 81015) 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 1932503679.
Provider's Profile
| Full Name | Pamela Renee Maxwell |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 533 Hackers Creek Rd, Jane Lew, West Virginia |
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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: 1932503679
- Provider Enumeration Date: 10/09/2014
- Last Update Date: 10/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 3274857057
- Enrollment ID: I20150127001435
Medical Identifiers
Medical identifiers for Pamela Renee Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932503679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 81015 (West Virginia) | 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. Pamela Renee Maxwell allows following entities to bill medicare on her behalf.
| Entity Name | Community Care Of West Virginia, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104177674
PECOS PAC ID: 0446232987
Enrollment ID: O20130226000624 |
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| Entity Name | Integrative Family Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629532452
PECOS PAC ID: 4486037009
Enrollment ID: O20220815002772 |
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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. Pamela Renee Maxwell 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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Pamela Renee Maxwell, NP-C
533 Hackers Creek Rd,
Jane Lew, WV 26378-8394
Ph: (304) 884-8941 | Pamela Renee Maxwell, NP-C
533 Hackers Creek Rd,
Jane Lew, WV 26378-8394
Ph: (304) 884-8941 |
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