Deirdre R Hiam, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - School" in Mount Hermon, Massachusetts. Her current practice location is
1 Lamplighter Way, Mount Hermon, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 498-3407.
Deirdre R Hiam is licensed to practice in Massachusetts (license number 228669) 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 1366654089.
Provider's Profile
| Full Name | Deirdre R Hiam |
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| Gender | Female |
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| Speciality | Nurse Practitioner - School |
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| Location | 1 Lamplighter Way, Mount Hermon, Massachusetts |
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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: 1366654089
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 09/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 5597865485
- Enrollment ID: I20200306000707
Medical Identifiers
Medical identifiers for Deirdre R Hiam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366654089 | NPI | - | NPPES |
| 228669 | Other | MA | CONNECTICARE |
| 0713457 | Medicaid | MA | |
| 126842 | Other | MA | FALLON |
| NP9544 | Other | MA | BCBSMA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 228669 (Massachusetts) | Secondary |
| 363LS0200X | Nurse Practitioner - School | 228669 (Massachusetts) | 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. Deirdre R Hiam allows following entities to bill medicare on her behalf.
| Entity Name | Sojourns Community Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255427001
PECOS PAC ID: 9234035072
Enrollment ID: O20040518001435 |
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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. Deirdre R Hiam 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 |
|---|
Deirdre R Hiam, NURSE PRACTITIONER
1 Lamplighter Way,
Mount Hermon, MA 01354-9637
Ph: (413) 498-3407 | Deirdre R Hiam, NURSE PRACTITIONER
1 Lamplighter Way,
Mount Hermon, MA 01354-9637
Ph: (413) 498-3407 |
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