Mrs Trisha Lynn Farrell, CNM, WHNP, MS is a medicare enrolled "Advanced Practice Midwife" in South Haven, Michigan. She graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bronson South Haven Hospital and her current practice location is
955 S Bailey Ave Ste 200, South Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 639-2720.
Mrs Trisha Lynn Farrell is licensed to practice in Michigan (license number 4704176647) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275508632.
Provider's Profile
| Full Name | Mrs Trisha Lynn Farrell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 30 Years |
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| Location | 955 S Bailey Ave Ste 200, South Haven, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Trisha Lynn Farrell graduated from nursing school in 1996
NPI Data:
- NPI Number: 1275508632
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880902592
- Enrollment ID: I20150930000476
Medical Identifiers
Medical identifiers for Mrs Trisha Lynn Farrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275508632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LW0102X | Nurse Practitioner - Women's Health | 4704176647 (Michigan) | Secondary |
| 367A00000X | Advanced Practice Midwife | 4704176647 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Bronson South Haven Hospital | 6204724834 | 38 |
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 Trisha Lynn Farrell allows following entities to bill medicare on her behalf.
| Entity Name | Bronson Methodist Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
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| Entity Name | Ascension Medical Group Promed |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
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| Entity Name | Bronson South Haven Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
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| Entity Name | Bronson Battle Creek Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
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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 Trisha Lynn Farrell 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 Trisha Lynn Farrell, CNM, WHNP, MS 1020 11th Ave, Uss Red Rover Building 1523, Great Lakes, IL 60088-3102 Ph: (847) 688-5568 | Mrs Trisha Lynn Farrell, CNM, WHNP, MS 955 S Bailey Ave Ste 200, South Haven, MI 49090-6743 Ph: (269) 639-2720 |
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