Mrs Paula Lynn Pengilly, FNP in Thief River Falls, MN

Mrs Paula Lynn Pengilly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Thief River Falls, Minnesota. Her current practice location is 17807 Us Hwy 59 Ne, Rose Medical Management, Thief River Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (361) 413-5179.

Mrs Paula Lynn Pengilly is licensed to practice in Maine (license number CNP91014) 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 1306839865.

Contact Information

	Mrs Paula Lynn Pengilly, FNP
	17807 Us Hwy 59 Ne, Rose Medical Management, Thief River Falls, MN 56701-5670
	(361) 413-5179
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Paula Lynn Pengilly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17807 Us Hwy 59 Ne, Thief River Falls, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306839865
Provider Enumeration Date: 08/30/2005
Last Update Date: 12/04/2020

Medicare PECOS Information:

PECOS PAC ID: 5294839015
Enrollment ID: I20180706000212

Medical Identifiers

Medical identifiers for Mrs Paula Lynn Pengilly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306839865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP91014 (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. Mrs Paula Lynn Pengilly allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

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 Paula Lynn Pengilly 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 Paula Lynn Pengilly, FNP 3461 37th St Ne, Inkster, ND 58233-9306 Ph: () -	Mrs Paula Lynn Pengilly, FNP 17807 Us Hwy 59 Ne, Rose Medical Management, Thief River Falls, MN 56701-5670 Ph: (361) 413-5179

Reviews and Comments

Nurse Practitioner Nurses in Thief River Falls, MN

Mrs. Michelle Rae Neuschwander, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351
Dr. Davis John Mills, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4350
Kyle Laurence Slaathaug, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747
Desiree M Bertilrud, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595
Andrea Marie Jorgenson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747
Patrick Jahn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-683-2676

Mrs Paula Lynn Pengilly, FNP - Medicare Nurse Practitioner in Thief River Falls, MN