Sydney L Kotredes, PNPC in Bangor, ME - Medicare Nurse Practitioner

Sydney L Kotredes, PNPC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Bangor, Maine. Her current practice location is 6 Telcom Dr, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 947-0147.

Sydney L Kotredes is licensed to practice in Maine (license number CNP171091) 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 1922483973.

Contact Information

	Sydney L Kotredes, PNPC
	6 Telcom Dr, Bangor, ME 04401-3072
	(207) 947-0147
	(207) 990-3365

Map and Direction

Provider's Profile

Full Name	Sydney L Kotredes
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	6 Telcom Dr, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922483973
Provider Enumeration Date: 07/20/2015
Last Update Date: 05/04/2021

Medicare PECOS Information:

PECOS PAC ID: 7113283409
Enrollment ID: I20171101002759

Medical Identifiers

Medical identifiers for Sydney L Kotredes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922483973	NPI	-	NPPES
0501557	Medicaid	NJ
103097936	Medicaid	PA
6180051-00	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	CNP171091 (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. Sydney L Kotredes allows following entities to bill medicare on her behalf.

Entity Name	Penobscot Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698

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. Sydney L Kotredes 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
Sydney L Kotredes, PNPC Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8200	Sydney L Kotredes, PNPC 6 Telcom Dr, Bangor, ME 04401-3072 Ph: (207) 947-0147

Reviews and Comments

Nurse Practitioner Nurses in Bangor, ME

Diane M Hill, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Northeast Dr, Bangor, ME 04401 Phone: 207-275-3800 Fax: 207-275-3803
Nancy J Fishwick, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Mckinley St, Bangor, ME 04401 Phone: 207-659-3690
Kathrin G Hastey, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Telcom Dr, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365
Judy Splittgerber, PMHNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401 Phone: 207-947-0147
Ms. Constance E Russell, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109
Maegan L Woodman, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365
Mrs. Alexandria Elizabeth Redmond, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Husson Ave, #2, Bangor, ME 04401 Phone: 207-941-2373 Fax: 207-941-8803

Sydney L Kotredes, PNPC - Medicare Nurse Practitioner in Bangor, ME