Stephanie Nicole Condodemetraky, ARNP in Manchester, NH

Stephanie Nicole Condodemetraky, ARNP is a medicare enrolled "Nurse Practitioner" in Manchester, New Hampshire. Her current practice location is 775 S. Main St., Manchester Medical Group, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 663-7300.

Stephanie Nicole Condodemetraky is licensed to practice in New Hampshire (license number 055471-23) 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 1295976777.

Contact Information

	Stephanie Nicole Condodemetraky, ARNP
	775 S. Main St., Manchester Medical Group, Manchester, NH 03102-5143
	(603) 663-7300
	(603) 663-7333

Map and Direction

Provider's Profile

Full Name	Stephanie Nicole Condodemetraky
Gender	Female
Speciality	Nurse Practitioner
Location	775 S. Main St., Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295976777
Provider Enumeration Date: 03/13/2009
Last Update Date: 04/09/2021

Medicare PECOS Information:

PECOS PAC ID: 2769539360
Enrollment ID: I20090420000135

Medical Identifiers

Medical identifiers for Stephanie Nicole Condodemetraky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295976777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	055471-21 (New Hampshire)	Secondary
363L00000X	Nurse Practitioner	055471-23 (New Hampshire)	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. Stephanie Nicole Condodemetraky allows following entities to bill medicare on her behalf.

Entity Name	Catholic Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265487755 PECOS PAC ID: 6103897129 Enrollment ID: O20060801000310

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. Stephanie Nicole Condodemetraky 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
Stephanie Nicole Condodemetraky, ARNP 775 S. Main St., Manchester Medical Group, Manchester, NH 03102-5143 Ph: (603) 663-7300	Stephanie Nicole Condodemetraky, ARNP 775 S. Main St., Manchester Medical Group, Manchester, NH 03102-5143 Ph: (603) 663-7300

Reviews and Comments

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Stephanie W Scripture, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Internal Medicine/pediatrics, Manchester, NH 03104 Phone: 603-695-2500
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Renee R Gabree, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500
Mrs. Erin Hope Fernald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Emergency Department, Manchester, NH 03103 Phone: 603-663-2830 Fax: 603-663-1849
Nycol Clough, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-663-6070
Corrine Alane Zeman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500

Stephanie Nicole Condodemetraky, ARNP - Medicare Nurse Practitioner in Manchester, NH