Corey Pagnotta, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Hartford, Connecticut. Her current practice location is
282 Washington St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 545-9000.
Corey Pagnotta is licensed to practice in * (Not Available) (license number 081602) 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 1053933150.
Physician's Profile
| Full Name | Corey Pagnotta |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 282 Washington St, Hartford, 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: 1053933150
- Provider Enumeration Date: 05/12/2020
- Last Update Date: 01/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 8921487554
- Enrollment ID: I20220628000791
Medical Identifiers
Medical identifiers for Corey Pagnotta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053933150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 081602 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 081602 (* (Not Available)) | 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. Corey Pagnotta 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 |
Corey Pagnotta, DO 282 Washington St, Hartford, CT 06106-3322 Ph: () - | Corey Pagnotta, DO 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9000 |
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