Paul Niedbala, - Medicare Nurse Practitioner in Pawcatuck, CT

Paul Niedbala, is a medicare enrolled "Nurse Practitioner - Family" in Pawcatuck, Connecticut. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northeast Medical Group Inc, Mhs Primary Care, Inc and his current practice location is 91 Voluntown Rd, Pawcatuck, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 599-5477.

Paul Niedbala is licensed to practice in Connecticut (license number 10296) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194474122.

Contact Information

Paul Niedbala,
91 Voluntown Rd,
Pawcatuck, CT 06379-1389
(860) 599-5477
Not Available

Map and Direction




Provider's Profile

Full NamePaul Niedbala
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location91 Voluntown Rd, Pawcatuck, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Niedbala graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1194474122
  • Provider Enumeration Date: 03/18/2022
  • Last Update Date: 03/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597152017
  • Enrollment ID: I20220429001845

Medical Identifiers

Medical identifiers for Paul Niedbala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194474122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10296 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawrence & Memorial HospitalNew london, CTHospital
Westerly HospitalWesterly, RIHospital
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361251
Mhs Primary Care, Inc4082507371143

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. Paul Niedbala allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522
Entity NameMhs Primary Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093138935
PECOS PAC ID: 4082507371
Enrollment ID: O20140814001234

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. Paul Niedbala 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
Paul Niedbala,
11 Banker Ct,
Pawcatuck, CT 06379-1345

Ph: (860) 235-0347
Paul Niedbala,
91 Voluntown Rd,
Pawcatuck, CT 06379-1389

Ph: (860) 599-5477

Reviews and Comments


Nurse Practitioner Nurses in Pawcatuck, CT

Jennifer Lynn Hauser,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 60 High Ridge Dr, Pawcatuck, CT 06379
Phone: 860-961-2668    
Jennifer Roch Avedisian,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 350 Liberty St Ste 102, Pawcatuck, CT 06379
Phone: 860-599-9961    Fax: 860-972-7040
Janine Brooks,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 47 Elmridge Rd, Pawcatuck, CT 06379
Phone: 617-331-2014    
Catherine Krenicky, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 High Ridge Dr, Pawcatuck, CT 06379
Phone: 860-599-5654    Fax: 860-599-6004
Kristen Fernandez, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 118 S Broad St, Pawcatuck, CT 06379
Phone: 860-860-5728    
Mrs. Vera Marie Borkowski, MS, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379
Phone: 860-599-5477    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.