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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