Yasmin Perez-maddelena, LPC in Bridgeport, CT

Yasmin Perez-maddelena, LPC is a medicare enrolled "Counselor - Professional" provider in Bridgeport, Connecticut. Her current practice location is 1046 Fairfield Ave, 1046 Fairfield Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 330-6054.

Yasmin Perez-maddelena is licensed to practice in Connecticut (license number 002430) 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 1689885667.

Contact Information

	Yasmin Perez-maddelena, LPC
	1046 Fairfield Ave, 1046 Fairfield Ave, Bridgeport, CT 06605-1116
	(203) 330-6054
	(203) 331-4716

Map and Direction

Healthcare Provider's Profile

Full Name	Yasmin Perez-maddelena
Gender	Female
Speciality	Counselor - Professional
Location	1046 Fairfield Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689885667
Provider Enumeration Date: 05/24/2007
Last Update Date: 11/16/2017

Medicare PECOS Information:

PECOS PAC ID: 2466999685
Enrollment ID: I20240806003197

Medical Identifiers

Medical identifiers for Yasmin Perez-maddelena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689885667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	002430 (Connecticut)	Secondary
101YP2500X	Counselor - Professional	002430 (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. Yasmin Perez-maddelena allows following entities to bill medicare on her behalf.

Entity Name	Cornell Scott Hill Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145

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. Yasmin Perez-maddelena 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
Yasmin Perez-maddelena, LPC 968 Fairfield Ave, Bridgeport, CT 06605-1116 Ph: (203) 332-3556	Yasmin Perez-maddelena, LPC 1046 Fairfield Ave, 1046 Fairfield Ave, Bridgeport, CT 06605-1116 Ph: (203) 330-6054

Reviews and Comments

Counselor in Bridgeport, CT

Mrs. Jacqueline Rodriguez, LADC,CAC,APP Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 Success Ave, Bridgeport, CT 06610 Phone: 203-864-8429
Ms. Trisha J Coombs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Bridgeport, CT 06604 Phone: 203-368-9755 Fax: 203-368-9760
Austin Gleaton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604 Phone: 646-941-7645 Fax: 929-596-7897
Regine Toussaint, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4699 Main St Ste 210, Bridgeport, CT 06606 Phone: 120-320-8394
Rudolph Hagwood Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1635 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-335-3518 Fax: 203-382-5589
Rashawna D Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Bunnell St, Bridgeport, CT 06607 Phone: 475-988-6885
Nathan Demaio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4675 Main St, Bridgeport, CT 06606 Phone: 203-344-0025

Yasmin Perez-maddelena, LPC - Medicare Counselor in Bridgeport, CT