Mitra Marvasti-sitterly, - Medicare Dentist in Weatogue, CT

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Mitra Marvasti-sitterly, is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Weatogue, Connecticut. Her current practice location is 381 Hopmeadow St Ste 202, Weatogue, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 658-7548.

Mitra Marvasti-sitterly is licensed to practice in Connecticut (license number 13636) 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 1154065514.

Contact Information

Mitra Marvasti-sitterly,
381 Hopmeadow St Ste 202,
Weatogue, CT 06089-9697
(860) 658-7548
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMitra Marvasti-sitterly
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location381 Hopmeadow St Ste 202, Weatogue, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154065514
  • Provider Enumeration Date: 04/22/2022
  • Last Update Date: 06/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204296411
  • Enrollment ID: I20230720000110

Medical Identifiers

Medical identifiers for Mitra Marvasti-sitterly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154065514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DN1859415 (Massachusetts)Secondary
1223G0001XDentist - General Practice 13636 (Connecticut)Secondary
1223P0221XDentist - Pediatric Dentistry DN1859415 (Massachusetts)Secondary
390200000XStudent In An Organized Health Care Education/training Program 13758 (Connecticut)Secondary
1223P0221XDentist - Pediatric Dentistry 13636 (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. Mitra Marvasti-sitterly 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
Mitra Marvasti-sitterly,
181 Partridge Lndg,
Glastonbury, CT 06033-2849

Ph: (860) 692-8127		Mitra Marvasti-sitterly,
381 Hopmeadow St Ste 202,
Weatogue, CT 06089-9697

Ph: (860) 658-7548

Reviews and Comments


Dentist in Weatogue, CT

Dr. Douglas Michael Hope, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 381 Hopmeadow St Ste 301, Weatogue, CT 06089
Phone: 860-651-4915    Fax: 860-658-1996
Dr. Michael B. Schneider, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 381 Hopmeadow St, Suite 302, Weatogue, CT 06089
Phone: 860-651-3781    
Dr. George Allison Murphy, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 110 Hopmeadow St, Weatogue, CT 06089
Phone: 860-651-3551    
Dr. Sophia Diana Beason-brown, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 381 Hopmeadow St, Suite 301, Weatogue, CT 06089
Phone: 860-232-9002    
Dr. Andrew Joseph Ponichtera, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 373 Hopmeadow St, Weatogue, CT 06089
Phone: 860-651-3319    Fax: 860-651-3314

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.