Dr Courtney Lynne Souza, MD in Weatogue, CT

Dr Courtney Lynne Souza, MD is a medicare enrolled "Pediatrics" physician in Weatogue, Connecticut. Her current practice location is 225 Hopmeadow St, Weatogue, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 658-0465.

Dr Courtney Lynne Souza is licensed to practice in Connecticut (license number 064738) 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 1457739583.

Contact Information

	Dr Courtney Lynne Souza, MD
	225 Hopmeadow St, Weatogue, CT 06089
	(860) 658-0465
	(860) 658-5963

Map and Direction

Physician's Profile

Full Name	Dr Courtney Lynne Souza
Gender	Female
Speciality	Pediatrics
Location	225 Hopmeadow St, Weatogue, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457739583
Provider Enumeration Date: 05/08/2015
Last Update Date: 01/11/2026

Medicare PECOS Information:

PECOS PAC ID: 8123432887
Enrollment ID: I20220215001323

Medical Identifiers

Medical identifiers for Dr Courtney Lynne Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457739583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	064738 (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 Courtney Lynne Souza allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

Entity Name	Starling Physicians, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467537290 PECOS PAC ID: 7517863749 Enrollment ID: O20031209000877

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 Courtney Lynne Souza 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 Courtney Lynne Souza, MD 225 Hopmeadow St, Weatogue, CT 06089-9782 Ph: (860) 658-0465	Dr Courtney Lynne Souza, MD 225 Hopmeadow St, Weatogue, CT 06089 Ph: (860) 658-0465

Reviews and Comments

Pediatrics Doctors in Weatogue, CT

Dr. Elizabeth T Pericat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963
Dr. Daniel L Spada, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963
Dr. Mark Andrew Sabo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465
Dr. Richard H Bason, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963
Dr. Sydney Ladenheim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963
Jamie Lyn Schned, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465

Dr Courtney Lynne Souza, MD - Medicare Pediatrics in Weatogue, CT