Trista Brittany Phaneuf, CNM - Medicare Advanced Practice Midwife in Concord, MA

Trista Brittany Phaneuf, CNM is a medicare enrolled "Advanced Practice Midwife" in Concord, Massachusetts. Her current practice location is 131 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 371-1396.

Trista Brittany Phaneuf is licensed to practice in Massachusetts (license number 276591) 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 1942580261.

Contact Information

Trista Brittany Phaneuf, CNM
131 Old Road To 9 Acre Cor, John Cuming Building Suite 830,
Concord, MA 01742-4181
(978) 371-1396
(978) 371-8277



Provider's Profile

Full NameTrista Brittany Phaneuf
GenderFemale
SpecialityAdvanced Practice Midwife
Location131 Old Road To 9 Acre Cor, Concord, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942580261
  • Provider Enumeration Date: 08/17/2011
  • Last Update Date: 10/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991964199
  • Enrollment ID: I20120307000642

Medical Identifiers

Medical identifiers for Trista Brittany Phaneuf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942580261NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 276591 (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. Trista Brittany Phaneuf allows following entities to bill medicare on her behalf.
Entity NameReliant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720017528
PECOS PAC ID: 5597755322
Enrollment ID: O20040708000650

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Entity NameSaint Vincent Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013997329
PECOS PAC ID: 8921056276
Enrollment ID: O20050104000566

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Entity NameObhg Massachusetts - Direct Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487229035
PECOS PAC ID: 1456752609
Enrollment ID: O20210625001903

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While laser and light-based therapies continue to make their mark on many dermatologic procedures, some dermatologists believe the tried-and-true oral medications for treating moderate to severe acne offer patients the best long-term treatment outcomes.

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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. Trista Brittany Phaneuf 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
Trista Brittany Phaneuf, CNM
131 Old Road To 9 Acre Cor, John Cuming Building Suite 830,
Concord, MA 01742-4181

Ph: (978) 371-1396
Trista Brittany Phaneuf, CNM
131 Old Road To 9 Acre Cor, John Cuming Building Suite 830,
Concord, MA 01742-4181

Ph: (978) 371-1396

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Advanced Practice Midwife Nurses in Concord, MA

Joanna Bickford Couvillon, MSN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 59 Old Road To 9 Acre Cor, Concord, MA 01742
Phone: 978-369-7627    
Lauren S. Carratu,
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 131 Ornac Ste 830, Concord, MA 01742
Phone: 978-371-1396    
Krystina Monique San Soucie, CNM, WHNP-BC
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 131 Old Road To 9 Acre Cor, Concord, MA 01742
Phone: 978-371-1396    
Mrs. Sherriann Perivolotis, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 133 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, MA 01742
Phone: 978-371-1396    Fax: 978-371-8277

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