Dwight John Dimartino, APRN in Bristol, CT - Medicare Nurse Practitioner

Dwight John Dimartino, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Bristol, Connecticut. His current practice location is 508 Birch St, Bristol, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 378-2891.

Dwight John Dimartino is licensed to practice in Connecticut (license number 11586) 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 1386340859.

Contact Information

	Dwight John Dimartino, APRN
	508 Birch St, Bristol, CT 06010-7837
	(860) 378-2891
	Not Available

Map and Direction

Provider's Profile

Full Name	Dwight John Dimartino
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	508 Birch St, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386340859
Provider Enumeration Date: 02/06/2023
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2264805647
Enrollment ID: I20230306001869

Medical Identifiers

Medical identifiers for Dwight John Dimartino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386340859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11586 (Connecticut)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	11586 (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. Dwight John Dimartino allows following entities to bill medicare on his behalf.

Entity Name	Feel Well Health Center Of Southington Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548305584 PECOS PAC ID: 8527951870 Enrollment ID: O20040203000040

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. Dwight John Dimartino 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
Dwight John Dimartino, APRN 185 Sunnyslope Dr, Southington, CT 06489-2131 Ph: (860) 916-2554	Dwight John Dimartino, APRN 508 Birch St, Bristol, CT 06010-7837 Ph: (860) 378-2891

Reviews and Comments

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Dwight John Dimartino, APRN - Medicare Nurse Practitioner in Bristol, CT