Mrs Laurie Conroe Mousaw, CNM is a medicare enrolled "Advanced Practice Midwife" in Potsdam, New York. Her current practice location is
49 Lawrence Ave, Potsdam, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 261-2153.
Mrs Laurie Conroe Mousaw is licensed to practice in New York (license number F0009701) 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 1194703744.
Provider's Profile
| Full Name | Mrs Laurie Conroe Mousaw |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 49 Lawrence Ave, Potsdam, New York |
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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: 1194703744
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 08/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 9931118767
- Enrollment ID: I20060406000156
Medical Identifiers
Medical identifiers for Mrs Laurie Conroe Mousaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194703744 | NPI | - | NPPES |
| 02146830 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | F0009701 (New York) | Primary |
| 163W00000X | Registered Nurse | 349218 (New York) | Secondary |
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. Mrs Laurie Conroe Mousaw allows following entities to bill medicare on her behalf.
| Entity Name | Canton-potsdam Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761 |
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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. Mrs Laurie Conroe Mousaw 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 |
|---|
Mrs Laurie Conroe Mousaw, CNM
50 Leroy St,
Potsdam, NY 13676-1786
Ph: (315) 265-3300 | Mrs Laurie Conroe Mousaw, CNM
49 Lawrence Ave,
Potsdam, NY 13676
Ph: (315) 261-2153 |
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