Jacqueline S Nissen, MD in Farmington, CT - Medicare Internal Medicine

Jacqueline S Nissen, MD is a medicare enrolled "Internal Medicine" physician in Farmington, Connecticut. She went to University Of Connecticut School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice University Of Connecticut Health Center and her current practice location is 263 Farmington Ave, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 679-4477.

Jacqueline S Nissen is licensed to practice in Connecticut (license number 032545) 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 1053318618.

Contact Information

	Jacqueline S Nissen, MD
	263 Farmington Ave, Farmington, CT 06030-1921
	(860) 679-4477
	(860) 679-1025

Map and Direction

Physician's Profile

Full Name	Jacqueline S Nissen
Gender	Female
Speciality	Internal Medicine
Experience	35 Years
Location	263 Farmington Ave, Farmington, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline S Nissen attended and graduated from University Of Connecticut School Of Medicine in 1989

NPI Data:

NPI Number: 1053318618
Provider Enumeration Date: 06/28/2005
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0345375622
Enrollment ID: I20100312000289

Medical Identifiers

Medical identifiers for Jacqueline S Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053318618	NPI	-	NPPES
1325457	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	032545 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John Dempsey Hospital	Farmington, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Connecticut Health Center	3678472016	523

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. Jacqueline S Nissen allows following entities to bill medicare on her behalf.

Entity Name	University Of Connecticut Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105

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. Jacqueline S Nissen 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
Jacqueline S Nissen, MD 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503	Jacqueline S Nissen, MD 263 Farmington Ave, Farmington, CT 06030-1921 Ph: (860) 679-4477

Reviews and Comments

Internal Medicine Doctors in Farmington, CT

Maroun Sfeir, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334
Andrew Arnold, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3245 Fax: 860-679-1867
Dr. Neelam Tailor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-4763 Fax: 860-479-4624
Dr. David K. Bowers, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06032 Phone: 860-679-4477 Fax: 860-679-1025
Scott R Allen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-1025
Carl D Malchoff, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3245 Fax: 860-679-1867
Beatriz R Esayag-tendler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3343 Fax: 860-679-4256

Jacqueline S Nissen, MD - Medicare Internal Medicine in Farmington, CT