Peninah Elizabeth Waithira, in Southbridge, MA

Peninah Elizabeth Waithira, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southbridge, Massachusetts. Her current practice location is 29 Pine St, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 765-9167.

Peninah Elizabeth Waithira is licensed to practice in Massachusetts (license number RN2298837) 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 1487301768.

Contact Information

	Peninah Elizabeth Waithira,
	29 Pine St, Southbridge, MA 01550-1823
	(508) 765-9167
	Not Available

Map and Direction

Provider's Profile

Full Name	Peninah Elizabeth Waithira
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	29 Pine St, Southbridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487301768
Provider Enumeration Date: 03/07/2022
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4789060237
Enrollment ID: I20221006000992

Medical Identifiers

Medical identifiers for Peninah Elizabeth Waithira such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487301768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2298837 (Massachusetts)	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. Peninah Elizabeth Waithira allows following entities to bill medicare on her behalf.

Entity Name	Hri Clinics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598707002 PECOS PAC ID: 8022088483 Enrollment ID: O20040731000071

Entity Name	Circle Integrative Psychiatric Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730960733 PECOS PAC ID: 7517314560 Enrollment ID: O20231113001731

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. Peninah Elizabeth Waithira 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
Peninah Elizabeth Waithira, Po Box 40, Southbridge, MA 01550-0040 Ph: () -	Peninah Elizabeth Waithira, 29 Pine St, Southbridge, MA 01550-1823 Ph: (508) 765-9167

Reviews and Comments

Nurse Practitioner Nurses in Southbridge, MA

Paulette Remijan, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Comprecare, Southbridge, MA 01550 Phone: 508-765-3093 Fax: 508-765-3047
Cindy Porter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 South Street, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-909-7735
George M Gachuma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167
Courtney Lynn Cowell, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Sayles St, Southbridge, MA 01550 Phone: 508-764-2400 Fax: 508-909-7770
Agata Marta Menard, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167
Allison Doreen Read, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 South Street, Southbridge, MA 01550 Phone: 508-765-9771
Ariel Jane Bullock, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 South St Ste 102, Southbridge, MA 01550 Phone: 508-765-7860 Fax: 508-765-7861

Peninah Elizabeth Waithira, - Medicare Nurse Practitioner in Southbridge, MA