Rosette Wakanabo, RN in Lexington, MA - Medicare Nurse Practitioner

Rosette Wakanabo, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lexington, Massachusetts. Her current practice location is 3214 Main Campus Dr, Lexington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 371-8503.

Rosette Wakanabo is licensed to practice in Massachusetts (license number RN2320331) 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 1629788906.

Contact Information

	Rosette Wakanabo, RN
	3214 Main Campus Dr, Lexington, MA 02421-8627
	(508) 371-8503
	Not Available

Map and Direction

Provider's Profile

Full Name	Rosette Wakanabo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3214 Main Campus Dr, Lexington, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629788906
Provider Enumeration Date: 11/28/2022
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 9234651746
Enrollment ID: I20250313002064

Medical Identifiers

Medical identifiers for Rosette Wakanabo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629788906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2320331 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2320331 (Massachusetts)	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. Rosette Wakanabo allows following entities to bill medicare on her behalf.

Entity Name	Supportive Behavioral Care Of Ma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877

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. Rosette Wakanabo 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
Rosette Wakanabo, RN 3214 Main Campus Dr, Lexington, MA 02421-8627 Ph: (508) 371-8503	Rosette Wakanabo, RN 3214 Main Campus Dr, Lexington, MA 02421-8627 Ph: (508) 371-8503

Reviews and Comments

Nurse Practitioner Nurses in Lexington, MA

Ms. Tarryn Weinberg Holman, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 Bedford St, Lexington, MA 02420 Phone: 781-672-2250 Fax: 781-672-2259
Kathryn Elizabeth Liziewski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Hartwell Ave, Lexington, MA 02421 Phone: 781-862-3899
Amy Lazaro, RN, BSN, IBCLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57 Bedford St Ste 100, Lexington, MA 02420 Phone: 978-424-8440
Mrs. Elizabeth Borghesani, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Muzzey St, Lexington, MA 02421 Phone: 781-862-4110 Fax: 781-863-2007
Mrs. Jill A Lamson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Forbes Rd, Lexington, MA 02421 Phone: 781-674-1200 Fax: 781-674-1546
Mrs. Jennifer Lynn Valentine, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Forbes Rd, Lexington, MA 02421 Phone: 781-674-1259
Elizabeth Gillen Goodchild, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Forbes Rd, Lexington, MA 02421 Phone: 781-674-1590

Rosette Wakanabo, RN - Medicare Nurse Practitioner in Lexington, MA