Tricia Mignosa, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Guilford, Connecticut. Her current practice location is
2415 Boston Post Rd Ste 12, Guilford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 693-4566.
Tricia Mignosa is licensed to practice in Connecticut (license number 5763) 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 1770626129.
Healthcare Provider's Profile
Full Name | Tricia Mignosa |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2415 Boston Post Rd Ste 12, Guilford, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770626129
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 11/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 9234239237
- Enrollment ID: I20150120001849
Medical Identifiers
Medical identifiers for Tricia Mignosa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770626129 | NPI | - | NPPES |
0040399533 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 006393 (Connecticut) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5763 (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. Tricia Mignosa allows following entities to bill medicare on her behalf.
Entity Name | Stony Creek Wellness Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598209116 PECOS PAC ID: 3072896380 Enrollment ID: O20170213000666 |
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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. Tricia Mignosa 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 |
Tricia Mignosa, APRN 2415 Boston Post Rd Ste 12, Guilford, CT 06437-4348 Ph: (203) 693-4566 | Tricia Mignosa, APRN 2415 Boston Post Rd Ste 12, Guilford, CT 06437-4348 Ph: (203) 693-4566 |
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