Stephanie Maignan Fequiere, PMNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Odessa, Delaware. Her current practice location is
111 Dupont Pkwy, Odessa, Delaware. You can reach out to her office (for appointments etc.) via phone at
(302) 313-1411.
Stephanie Maignan Fequiere is licensed to practice in Delaware (license number L8-0010742) 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 1528883345.
Provider's Profile
| Full Name | Stephanie Maignan Fequiere |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 111 Dupont Pkwy, Odessa, Delaware |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528883345
- Provider Enumeration Date: 11/18/2024
- Last Update Date: 11/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890224554
- Enrollment ID: I20250124000694
Medical Identifiers
Medical identifiers for Stephanie Maignan Fequiere such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528883345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | L8-0010742 (Delaware) | 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. Stephanie Maignan Fequiere allows following entities to bill medicare on her behalf.
| Entity Name | Creative Medical Consulting, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578051819 PECOS PAC ID: 7719242205 Enrollment ID: O20180605000164 |
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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. Stephanie Maignan Fequiere 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 |
Stephanie Maignan Fequiere, PMNP 88 Emerald Ridge Dr, Bear, DE 19701-2273 Ph: (267) 338-8636 | Stephanie Maignan Fequiere, PMNP 111 Dupont Pkwy, Odessa, DE 19730 Ph: (302) 313-1411 |
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