Julia Prokesova, MD - Medicare Emergency Medicine in Willimantic, CT

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Julia Prokesova, MD is a medicare enrolled "Emergency Medicine" physician in Willimantic, Connecticut. She went to Wake Forest University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice The William W Backus Hospital and her current practice location is 112 Mansfield Ave, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 609-9929.

Julia Prokesova is licensed to practice in California (license number 71125) 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 1972036416.

Contact Information

Julia Prokesova, MD
112 Mansfield Ave,
Willimantic, CT 06226-2045
(860) 609-9929
Not Available

Map and Direction




Physician's Profile

Full NameJulia Prokesova
GenderFemale
SpecialityEmergency Medicine
Experience8 Years
Location112 Mansfield Ave, Willimantic, 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:
  • Julia Prokesova attended and graduated from Wake Forest University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1972036416
  • Provider Enumeration Date: 04/11/2017
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860762903
  • Enrollment ID: I20221110002332

Medical Identifiers

Medical identifiers for Julia Prokesova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972036416NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2020-00206 (North Carolina)Secondary
207P00000XEmergency Medicine 71125 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
William W Backus HospitalNorwich, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The William W Backus Hospital0749170645208

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. Julia Prokesova allows following entities to bill medicare on her behalf.
Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739
Entity NameNortheast Emergency Medicine Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982889598
PECOS PAC ID: 8729157797
Enrollment ID: O20080516000028
Entity NameNems Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114482882
PECOS PAC ID: 2466792833
Enrollment ID: O20190321000650

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. Julia Prokesova 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
Julia Prokesova, MD
112 Mansfield Ave,
Willimantic, CT 06226-2045

Ph: (860) 609-9929		Julia Prokesova, MD
112 Mansfield Ave,
Willimantic, CT 06226-2045

Ph: (860) 609-9929

Reviews and Comments


Emergency Medicine Doctors in Willimantic, CT

Dr. Craig D Sweeney, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1703 Main St, Willimantic, CT 06226
Phone: 860-456-1252    
Jessica Lise Vercruysse, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 904-265-6850    
Thomas Gilmore,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mansfield Ave, Windham Hospital, Willimantic, CT 06226
Phone: 215-955-9837    
Dr. Eugene A Winchester, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-6715    
Dr. Orland Edwin Donald, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 112 Mansfield Ave, Windham Hospital Emergency Dept, Willimantic, CT 06226
Phone: 860-456-6715    
Marc L. Guttman, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-9116    Fax: 860-963-6368
Neil Moynihan, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-423-6410    

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.