Ivette Becerra Ortiz, APRN - Nurse Practitioner in New Haven, CT

Ivette Becerra Ortiz, APRN is a Nurse Practitioner - Pediatrics based in New Haven, Connecticut. Ivette Becerra Ortiz is licensed to practice in Connecticut (license number 002875) and her current practice location is 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 777-7411.

NPI number for Ivette Becerra Ortiz is 1033224670 and her current mailing address is 275 Wolcott Hill Road, Weathersfield, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033224670.

Contact Information

Ivette Becerra Ortiz, APRN
374 Grand Avenue, Fair Haven Community Health Ctr,
New Haven, CT 06513
(203) 777-7411
(203) 777-8506

Map and Direction




Provider's Profile

Full NameIvette Becerra Ortiz
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location374 Grand Avenue, New Haven, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033224670
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ivette Becerra Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033224670NPI-NPPES
0000221420102OtherUNITED HEALTHCARE
330281OtherWELLCARE
P3598502OtherOXFORD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 002875 (Connecticut)Primary

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. Ivette Becerra Ortiz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivette Becerra Ortiz, APRN
275 Wolcott Hill Road,
Weathersfield, CT 06109-2033

Ph: (860) 436-4126
Ivette Becerra Ortiz, APRN
374 Grand Avenue, Fair Haven Community Health Ctr,
New Haven, CT 06513

Ph: (203) 777-7411

Reviews and Comments


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