Kristin Fedorchak, in Manchester, NH - Medicare Nurse Practitioner

Kristin Fedorchak, is a medicare enrolled "Nurse Practitioner - Women's Health" in Manchester, New Hampshire. Her current practice location is 150 Tarrytown Rd, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 622-3162.

Kristin Fedorchak is licensed to practice in New Hampshire (license number 040987-23) 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 1306386982.

Contact Information

	Kristin Fedorchak,
	150 Tarrytown Rd, Manchester, NH 03103-2713
	(603) 622-3162
	(603) 622-8677

Map and Direction

Provider's Profile

Full Name	Kristin Fedorchak
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	150 Tarrytown Rd, Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306386982
Provider Enumeration Date: 03/02/2017
Last Update Date: 04/23/2026

Medicare PECOS Information:

PECOS PAC ID: 1456637438
Enrollment ID: I20170405000901

Medical Identifiers

Medical identifiers for Kristin Fedorchak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306386982	NPI	-	NPPES
040987-23	Other	NH	NH APRN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	040987-23 (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. Kristin Fedorchak allows following entities to bill medicare on her behalf.

Entity Name	Wentworth Douglass Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433

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. Kristin Fedorchak 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
Kristin Fedorchak, 150 Tarrytown Rd, Manchester, NH 03103-2713 Ph: (603) 622-3162	Kristin Fedorchak, 150 Tarrytown Rd, Manchester, NH 03103-2713 Ph: (603) 622-3162

Reviews and Comments

Nurse Practitioner Nurses in Manchester, NH

Stephanie W Scripture, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 Fax: 603-640-1228
Nancy Thomson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Wall St, Suite 300, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-622-4134
Mrs. Erin Elizabeth Mcdonough, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-663-6401 Fax: 603-663-2059
Elizabeth Anne Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 Maynard Ave, Manchester, NH 03103 Phone: 603-361-5123
Renee R Gabree, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500
Kristen Elizabeth Newell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 87 Mcgregor St, Manchester, NH 03102 Phone: 603-695-2500 Fax: 603-640-1228
Mrs. Erin Hope Fernald, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Elliot Way, Emergency Department, Manchester, NH 03103 Phone: 603-663-2830 Fax: 603-663-1849

Kristin Fedorchak, - Medicare Nurse Practitioner in Manchester, NH