Lauren Jellison, NP is a medicare enrolled "Nurse Practitioner - Family" in Hermon, Maine. Her current practice location is
2423 Route 2, Hermon, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 742-2839.
Lauren Jellison is licensed to practice in Maine (license number CNP221225) 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 1073247367.
Provider's Profile
| Full Name | Lauren Jellison |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2423 Route 2, Hermon, 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: 1073247367
- Provider Enumeration Date: 07/12/2022
- Last Update Date: 01/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 2466828744
- Enrollment ID: I20221012002419
Medical Identifiers
Medical identifiers for Lauren Jellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073247367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CNP221225 (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. Lauren Jellison allows following entities to bill medicare on her behalf.
| Entity Name | St Joseph Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154321545
PECOS PAC ID: 6406766336
Enrollment ID: O20040604000895 |
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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. Lauren Jellison 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 |
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Lauren Jellison, NP
2423 Route 2,
Hermon, ME 04401-0609
Ph: (207) 742-2839 | Lauren Jellison, NP
2423 Route 2,
Hermon, ME 04401-0609
Ph: (207) 742-2839 |
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