Dr Katherine Jane Pesce, MD is a medicare enrolled "Dermatology" physician in Bridgeport, Connecticut. She went to University Of Connecticut School Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Integrated Dermatology Of Clinton Llc, Associates In Dermatology Llc and her current practice location is
4699 Main St, Suite 212, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 372-8949.
Dr Katherine Jane Pesce is licensed to practice in Connecticut (license number 039261) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770691552.
Physician's Profile
| Full Name | Dr Katherine Jane Pesce |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 30 Years |
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| Location | 4699 Main St, Bridgeport, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Katherine Jane Pesce attended and graduated from University Of Connecticut School Of Medicine in 1996
NPI Data:
- NPI Number: 1770691552
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 05/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 9830170448
- Enrollment ID: I20040601000061
Medical Identifiers
Medical identifiers for Dr Katherine Jane Pesce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770691552 | NPI | - | NPPES |
| 001392612 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 039261 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Integrated Dermatology Of Clinton Llc | 7416257381 | 8 |
| Associates In Dermatology Llc | 0840205910 | 2 |
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 Katherine Jane Pesce allows following entities to bill medicare on her behalf.
| Entity Name | Associates in Dermatology LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790842227
PECOS PAC ID: 0840205910
Enrollment ID: O20060210000048 |
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| Entity Name | Integrated Dermatology of Clinton LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457728883
PECOS PAC ID: 7416257381
Enrollment ID: O20151125000408 |
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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 Katherine Jane Pesce 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 |
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Dr Katherine Jane Pesce, MD
4699 Main St, Suite 212,
Bridgeport, CT 06606
Ph: (203) 372-8949 | Dr Katherine Jane Pesce, MD
4699 Main St, Suite 212,
Bridgeport, CT 06606
Ph: (203) 372-8949 |
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