Enid S Landreth, RN in Woburn, MA - Medicare Nurse Practitioner

Enid S Landreth, RN is a medicare enrolled "Nurse Practitioner" in Woburn, Massachusetts. Her current practice location is 111 Locust St Apt 40-b1, Woburn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 840-6561.

Enid S Landreth is licensed to practice in Massachusetts (license number RN2287542) 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 1811569825.

Contact Information

	Enid S Landreth, RN
	111 Locust St Apt 40-b1, Woburn, MA 01801-3871
	(617) 840-6561
	Not Available

Map and Direction

Provider's Profile

Full Name	Enid S Landreth
Gender	Female
Speciality	Nurse Practitioner
Location	111 Locust St Apt 40-b1, Woburn, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811569825
Provider Enumeration Date: 07/11/2021
Last Update Date: 01/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6800254582
Enrollment ID: I20230628002046

Medical Identifiers

Medical identifiers for Enid S Landreth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811569825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2287542 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	RN2287542 (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. Enid S Landreth allows following entities to bill medicare on her behalf.

Entity Name	Jose R. Gutierrez Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851987663 PECOS PAC ID: 9830507763 Enrollment ID: O20210414001433

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. Enid S Landreth 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
Enid S Landreth, RN 111 Locust St Apt 40-b1, Woburn, MA 01801-3871 Ph: (617) 840-6561	Enid S Landreth, RN 111 Locust St Apt 40-b1, Woburn, MA 01801-3871 Ph: (617) 840-6561

Reviews and Comments

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Rose Mushi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Cummings Park Ste 4700, Woburn, MA 01801 Phone: 781-224-0611 Fax: 781-224-1993
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Debra Booth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Cummings Park Ste 1800, Woburn, MA 01801 Phone: 617-916-5069
Christina Maria O'connor, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Alfred St Ste 220, Woburn, MA 01801 Phone: 781-933-6236
Ms. Carol Ann Cirone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Fuller Farm Lane, Woburn, MA 01801 Phone: 781-939-5828 Fax: 781-939-5828
Ms. Jeanette M Richardson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Warren Ave, Suite 100, Woburn, MA 01801 Phone: 781-933-1198 Fax: 781-729-7504

Enid S Landreth, RN - Medicare Nurse Practitioner in Woburn, MA