Willow Moryan, CNM is a medicare enrolled "Advanced Practice Midwife" in Claremont, New Hampshire. Her current practice location is
224 Elm Street, Claremont, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 543-6920.
Willow Moryan is licensed to practice in New Hampshire (license number 046706-23) 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 1205868809.
Provider's Profile
| Full Name | Willow Moryan |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 224 Elm Street, Claremont, New Hampshire |
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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: 1205868809
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 01/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557323235
- Enrollment ID: I20041104000044
Medical Identifiers
Medical identifiers for Willow Moryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205868809 | NPI | - | NPPES |
| 40Y007826NH01 | Other | NH | BLUE SHIELD |
| 68440 | Other | VT | BLUE SHIELD |
| 373299 | Other | | MVP HEALTHCARE |
| 30343213 | Medicaid | NH | |
| 1010878 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 101.0085851 (Vermont) | Secondary |
| 367A00000X | Advanced Practice Midwife | 046706-23 (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. Willow Moryan allows following entities to bill medicare on her behalf.
| Entity Name | Planned Parenthood Of Northern New England, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578529350
PECOS PAC ID: 8729069505
Enrollment ID: O20050127000485 |
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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. Willow Moryan 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 |
|---|
Willow Moryan, CNM
784 Hercules Dr Ste 110,
Colchester, VT 05446-8049
Ph: (802) 448-9787 | Willow Moryan, CNM
224 Elm Street,
Claremont, NH 03743
Ph: (603) 543-6920 |
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