Jessie Daley Eklund, FNP-C is a medicare enrolled "Nurse Practitioner" provider in Ellsworth, Maine. Her current practice location is
235 High St, Ellsworth, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 412-5200.
Jessie Daley Eklund is licensed to practice in Maine (license number CNP241652) 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 1114269909.
Healthcare Provider's Profile
| Full Name | Jessie Daley Eklund |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 235 High St, Ellsworth, Maine |
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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: 1114269909
- Provider Enumeration Date: 03/20/2013
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113455635
- Enrollment ID: I20250113000719
Medical Identifiers
Medical identifiers for Jessie Daley Eklund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114269909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | XL4076 (Maine) | Secondary |
| 163W00000X | Registered Nurse | RN73537 (Maine) | Secondary |
| 363L00000X | Nurse Practitioner | CNP241652 (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. Jessie Daley Eklund allows following entities to bill medicare on her behalf.
| Entity Name | Convenientmd - Ffs Uc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780375220
PECOS PAC ID: 5193186492
Enrollment ID: O20230803000124 |
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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. Jessie Daley Eklund 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 |
|---|
Jessie Daley Eklund, FNP-C
360 Us Highway 1 Byp Unit 102,
Portsmouth, NH 03801-7105
Ph: (603) 410-6700 | Jessie Daley Eklund, FNP-C
235 High St,
Ellsworth, ME 04605-1715
Ph: (207) 412-5200 |
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