Karren Agyekum, is a medicare enrolled "Nurse Practitioner - Family" physician in East Hampton, Connecticut. Her current practice location is
54 E High St, East Hampton, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
Karren Agyekum is licensed to practice in Connecticut (license number 5531) 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 1508296542.
Physician's Profile
| Full Name | Karren Agyekum |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 54 E High St, East Hampton, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508296542
- Provider Enumeration Date: 11/12/2013
- Last Update Date: 10/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557598653
- Enrollment ID: I20131217001264
Medical Identifiers
Medical identifiers for Karren Agyekum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508296542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F347534-01 (New York) | Secondary |
| 207Q00000X | Family Medicine | RN311269 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5531 (Connecticut) | Primary |
| 207Q00000X | Family Medicine | SP026123 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 0024183929 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 26025 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | CP002376 (South Dakota) | Secondary |
| 207Q00000X | Family Medicine | 5016238 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 112485 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 26NJ14927800 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 13283-33 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | R52162 (North Dakota) | Secondary |
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. Karren Agyekum allows following entities to bill medicare on her behalf.
| Entity Name | Mc Diagnostic Of Connecticut, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386821932
PECOS PAC ID: 0941382113
Enrollment ID: O20080126000057 |
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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. Karren Agyekum 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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Karren Agyekum,
54 E High St,
East Hampton, CT 06424-1052
Ph: (866) 389-2727 | Karren Agyekum,
54 E High St,
East Hampton, CT 06424-1052
Ph: (866) 389-2727 |
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