Connie Hammond, is a medicare enrolled "Emergency Medicine" in Peoria, Arizona. Her current practice location is
7615 W Thunderbird Rd, Ste 106, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 547-6838.
Connie Hammond is licensed to practice in Arizona (license number AP8713) 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 1376096024.
Provider's Profile
| Full Name | Connie Hammond |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 7615 W Thunderbird Rd, Peoria, Arizona |
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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: 1376096024
- Provider Enumeration Date: 07/29/2016
- Last Update Date: 10/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698044832
- Enrollment ID: I20170703001498
Medical Identifiers
Medical identifiers for Connie Hammond such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376096024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | AP8713 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | AP8713 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | AP8713 (Arizona) | 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. Connie Hammond allows following entities to bill medicare on her behalf.
| Entity Name | Kenneth O Anaeme Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033270723
PECOS PAC ID: 6103968060
Enrollment ID: O20100115000378 |
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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. Connie Hammond 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 |
|---|
Connie Hammond,
7615 W Thunderbird Rd, Ste 106,
Peoria, AZ 85381-6083
Ph: (623) 547-6838 | Connie Hammond,
7615 W Thunderbird Rd, Ste 106,
Peoria, AZ 85381-6083
Ph: (623) 547-6838 |
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