Connor Rezzonico, PMHNP - Medicare Nurse Practitioner in Coeur D Alene, ID

Connor Rezzonico, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coeur D Alene, Idaho. His current practice location is 1038 Northwest Blvd, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 620-5210.

Connor Rezzonico is licensed to practice in Idaho (license number 74368) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063184968.

Contact Information

Connor Rezzonico, PMHNP
1038 Northwest Blvd,
Coeur D Alene, ID 83814-2249
(208) 620-5210
(844) 803-7399



Provider's Profile

Full NameConnor Rezzonico
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1038 Northwest Blvd, Coeur D Alene, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063184968
  • Provider Enumeration Date: 09/29/2021
  • Last Update Date: 10/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729458690
  • Enrollment ID: I20230111000009

Medical Identifiers

Medical identifiers for Connor Rezzonico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063184968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 40375 (Wyoming)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 74368 (Idaho)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. Connor Rezzonico allows following entities to bill medicare on his behalf.
Entity NameDirne Health Centers, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686477
PECOS PAC ID: 2466353354
Enrollment ID: O20050303001041

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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. Connor Rezzonico 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 AddressPractice Location Address
Connor Rezzonico, PMHNP
Po Box 1387,
Hayden, ID 83835-1387

Ph: (208) 620-5250
Connor Rezzonico, PMHNP
1038 Northwest Blvd,
Coeur D Alene, ID 83814-2249

Ph: (208) 620-5210

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Nurse Practitioner Nurses in Coeur D Alene, ID

Deborah Magnuson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814
Phone: 208-215-2005    Fax: 844-807-3782
Elizabeth Lynn,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1801 N 3rd St Ste 12, Coeur D Alene, ID 83814
Phone: 208-261-2411    Fax: 866-291-4766
Mary Sandra Duff, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814
Phone: 208-667-4557    Fax: 208-765-2887
Ms. Kristina Marie Follger, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814
Phone: 208-292-5437    Fax: 208-292-5441
Robin Marie Beard, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814
Phone: 208-625-3640    Fax: 208-625-3645
Raquel Joye Lins, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815
Phone: 208-209-0288    
Jennifer Fletcher, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 919 W Canfield Ave, Coeur D Alene, ID 83815
Phone: 208-758-0560    Fax: 208-762-5424

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