Phouangmaly Mimi Oupravanh, DNP in Milford, MA

Phouangmaly Mimi Oupravanh, DNP is a medicare enrolled "Nurse Practitioner" in Milford, Massachusetts. Her current practice location is 42 Cape Rd, Milford, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (800) 853-2288.

Phouangmaly Mimi Oupravanh is licensed to practice in Massachusetts (license number RN2338222) 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 1346875531.

Contact Information

	Phouangmaly Mimi Oupravanh, DNP
	42 Cape Rd, Milford, MA 01757-3292
	(800) 853-2288
	Not Available

Map and Direction

Provider's Profile

Full Name	Phouangmaly Mimi Oupravanh
Gender	Female
Speciality	Nurse Practitioner
Location	42 Cape Rd, Milford, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346875531
Provider Enumeration Date: 03/08/2020
Last Update Date: 05/20/2022

Medicare PECOS Information:

PECOS PAC ID: 8527447200
Enrollment ID: I20220627002611

Medical Identifiers

Medical identifiers for Phouangmaly Mimi Oupravanh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346875531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2338222 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	RN2338222 (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. Phouangmaly Mimi Oupravanh allows following entities to bill medicare on her behalf.

Entity Name	Edward M Kennedy Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609842152 PECOS PAC ID: 3476512740 Enrollment ID: O20041004000840

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. Phouangmaly Mimi Oupravanh 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
Phouangmaly Mimi Oupravanh, DNP 45 Farnum St, Blackstone, MA 01504-2224 Ph: (401) 692-1516	Phouangmaly Mimi Oupravanh, DNP 42 Cape Rd, Milford, MA 01757-3292 Ph: (800) 853-2288

Reviews and Comments

Nurse Practitioner Nurses in Milford, MA

Mrs. Tina Marie Gebarowski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Countryside Dr, Milford, MA 01757 Phone: 508-473-0435 Fax: 508-473-9755
Emily Collier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 321 Fortune Boulevard, Milford, MA 01757 Phone: 508-478-5996 Fax: 508-634-7857
Ezequiel De Leon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 Water St, Milford, MA 01757 Phone: 508-478-4500 Fax: 508-478-5235
Jessica Ferreira Goonan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Prospect St, Milford, MA 01757 Phone: 508-473-1190
Morgan Clothilde Morgante, RN, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Prospect St, Milford, MA 01757 Phone: 508-473-1190 Fax: 508-482-5416
Matthew P Rozanski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Water St, Milford, MA 01757 Phone: 508-478-4500 Fax: 508-478-5235
Lauren Beraldi Abric, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 West St, Milford, MA 01757 Phone: 508-212-0225

Phouangmaly Mimi Oupravanh, DNP - Medicare Nurse Practitioner in Milford, MA