Asena Derohannesian, in Bridgeport, CT - Medicare Nurse Practitioner

Asena Derohannesian, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Bridgeport, Connecticut. Her current practice location is 425 Thorme St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 275-4115.

Asena Derohannesian is licensed to practice in Connecticut (license number 6410) 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 1043685308.

Contact Information

	Asena Derohannesian,
	425 Thorme St, Bridgeport, CT 06606-3418
	(203) 275-4115
	(203) 275-0198

Map and Direction

Provider's Profile

Full Name	Asena Derohannesian
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	425 Thorme St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043685308
Provider Enumeration Date: 12/11/2015
Last Update Date: 10/17/2018

Medicare PECOS Information:

PECOS PAC ID: 7517232408
Enrollment ID: I20221117001707

Medical Identifiers

Medical identifiers for Asena Derohannesian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043685308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	6410 (Connecticut)	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. Asena Derohannesian allows following entities to bill medicare on her behalf.

Entity Name	Premier Medical Group Of The Hudson Valley Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255437166 PECOS PAC ID: 3072575109 Enrollment ID: O20070301000268

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. Asena Derohannesian 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
Asena Derohannesian, 46 Albion St, Bridgeport, CT 06605-2602 Ph: (203) 330-6000	Asena Derohannesian, 425 Thorme St, Bridgeport, CT 06606-3418 Ph: (203) 275-4115

Reviews and Comments

Nurse Practitioner Nurses in Bridgeport, CT

Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376

Asena Derohannesian, - Medicare Nurse Practitioner in Bridgeport, CT