Dr Alphonse Louis Paolillo Jr, DNP, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Norwalk, Connecticut. His current practice location is
149 Water Street, Suite 402, Norwalk, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 842-2894.
Dr Alphonse Louis Paolillo Jr is licensed to practice in Connecticut (license number 11416) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215642673.
Physician's Profile
| Full Name | Dr Alphonse Louis Paolillo Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 149 Water Street, Norwalk, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215642673
- Provider Enumeration Date: 01/20/2023
- Last Update Date: 12/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951776152
- Enrollment ID: I20230330002739
Medical Identifiers
Medical identifiers for Dr Alphonse Louis Paolillo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215642673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 11416 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11416 (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. Dr Alphonse Louis Paolillo Jr allows following entities to bill medicare on his behalf.
| Entity Name | Vinay Madan Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174168926
PECOS PAC ID: 7810319084
Enrollment ID: O20200616001870 |
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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. Dr Alphonse Louis Paolillo Jr 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 |
|---|
Dr Alphonse Louis Paolillo Jr, DNP, APRN, FNP-BC
149 Water Street, Suite 402,
Norwalk, CT 06854
Ph: (203) 842-2894 | Dr Alphonse Louis Paolillo Jr, DNP, APRN, FNP-BC
149 Water Street, Suite 402,
Norwalk, CT 06854
Ph: (203) 842-2894 |
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