Dr Madhuri Pratinidhi, MD - Medicare Family Practice in Vernon, CT

Dr Madhuri Pratinidhi, MD is a medicare enrolled "Family Medicine" physician in Vernon, Connecticut. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hartford Healthcare Medical Group Inc and her current practice location is 351 Merline Rd, Suite 101, Vernon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 871-1613.

Dr Madhuri Pratinidhi is licensed to practice in Connecticut (license number CT035881) 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 1679590038.

Contact Information

Dr Madhuri Pratinidhi, MD
351 Merline Rd, Suite 101,
Vernon, CT 06066-4040
(860) 871-1613
(860) 875-8991

Map and Direction




Physician's Profile

Full NameDr Madhuri Pratinidhi
GenderFemale
SpecialityFamily Practice
Experience36 Years
Location351 Merline Rd, Vernon, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Madhuri Pratinidhi graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1679590038
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2466512355
  • Enrollment ID: I20081121000607

Medical Identifiers

Medical identifiers for Dr Madhuri Pratinidhi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679590038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine CT035881 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Visiting Nurse & Health Services Of ConnecticutVernon, CTHospice
Manchester Memorial HospitalManchester, CTHospital
Rockville General HospitalRockville, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Inc1153573902221

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 Madhuri Pratinidhi allows following entities to bill medicare on her behalf.
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007

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 Madhuri Pratinidhi 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
Dr Madhuri Pratinidhi, MD
351 Merline Rd, Suite 101,
Vernon, CT 06066-4040

Ph: (860) 871-1613
Dr Madhuri Pratinidhi, MD
351 Merline Rd, Suite 101,
Vernon, CT 06066-4040

Ph: (860) 871-1613

Reviews and Comments


Family Medicine Doctors in Vernon, CT

Andrea Sadowski, PA
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 520 Hartford Tpke, Suite N, Vernon, CT 06066
Phone: 860-872-8321    Fax: 860-875-6271
Lisa Talati, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 428 Hartford Tpke, Vernon, CT 06066
Phone: 860-533-4611    
Dr. John Schifferdecker, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 554 Talcottville Rd, Vernon, CT 06066
Phone: 860-875-6700    Fax: 860-870-6140
Momina Afrede, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 428 Hartford Tpke Ste 210, Vernon, CT 06066
Phone: 860-533-4611    
Mr. Eric Anthony Camyre, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 428 Hartford Tpke, Suite 210, Vernon, CT 06066
Phone: 860-533-4611    
Kristin Giannini, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 520 Hartford Tpke, Suite N, Vernon, CT 06066
Phone: 860-872-8321    Fax: 860-875-6271

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.