Kettly Cassamajor, in Bridgeport, CT - Medicare Nurse Practitioner

Kettly Cassamajor, is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 4920 Main St Ste 302, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 210-4960.

Kettly Cassamajor is licensed to practice in Connecticut (license number 12.006973) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235660267.

Contact Information

	Kettly Cassamajor,
	4920 Main St Ste 302, Bridgeport, CT 06606-1300
	(475) 210-4960
	(203) 371-0542

Map and Direction

Provider's Profile

Full Name	Kettly Cassamajor
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	4920 Main St Ste 302, Bridgeport, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kettly Cassamajor graduated from nursing school in 2016

NPI Data:

NPI Number: 1235660267
Provider Enumeration Date: 03/22/2017
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9638455827
Enrollment ID: I20170425001440

Medical Identifiers

Medical identifiers for Kettly Cassamajor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235660267	NPI	-	NPPES
004234788	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12.006973 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1138

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. Kettly Cassamajor allows following entities to bill medicare on her behalf.

Entity Name	Optimus Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254

Entity Name	Jack V. Diteodoro M.d,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700194636 PECOS PAC ID: 8729247077 Enrollment ID: O20120307000020

Entity Name	Stella Medical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255851481 PECOS PAC ID: 2769738566 Enrollment ID: O20180710000903

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Kettly Cassamajor 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
Kettly Cassamajor, 1290 Silas Deane Hwy, Hartford Healthcare-cvo, Wethersfield, CT 06109-4337 Ph: () -	Kettly Cassamajor, 4920 Main St Ste 302, Bridgeport, CT 06606-1300 Ph: (475) 210-4960

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, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198

Kettly Cassamajor, - Medicare Nurse Practitioner in Bridgeport, CT