Mildred Catherine Conneely, ARNP in Tampa, FL

Mildred Catherine Conneely, ARNP is a medicare enrolled "General Practice" physician in Tampa, Florida. Her current practice location is 1701 W Jetton Ave, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 786-6364.

Mildred Catherine Conneely is licensed to practice in Florida (license number F02180856) 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 1023507407.

Contact Information

	Mildred Catherine Conneely, ARNP
	1701 W Jetton Ave, Tampa, FL 33606-3026
	(813) 786-6364
	Not Available

Map and Direction

Physician's Profile

Full Name	Mildred Catherine Conneely
Gender	Female
Speciality	General Practice
Location	1701 W Jetton Ave, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023507407
Provider Enumeration Date: 05/01/2018
Last Update Date: 05/01/2018

Medicare PECOS Information:

PECOS PAC ID: 7618222340
Enrollment ID: I20180620000971

Medical Identifiers

Medical identifiers for Mildred Catherine Conneely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023507407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	F02180856 (Florida)	Primary

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. Mildred Catherine Conneely allows following entities to bill medicare on her behalf.

Entity Name	Hcr Manorcare Medical Services Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20050413000643

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. Mildred Catherine Conneely 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
Mildred Catherine Conneely, ARNP 1701 W Jetton Ave, Tampa, FL 33606-3026 Ph: (813) 786-6364	Mildred Catherine Conneely, ARNP 1701 W Jetton Ave, Tampa, FL 33606-3026 Ph: (813) 786-6364

Reviews and Comments

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Mildred Catherine Conneely, ARNP - Medicare General Practice in Tampa, FL