Mrs Marie Helene Pouliot, MD in Wallingford, CT

Mrs Marie Helene Pouliot, MD is a medicare enrolled "Pediatrics" physician in Wallingford, Connecticut. Her current practice location is 1062 Barnes Road, Suite 102, Wallingford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 294-6328.

Mrs Marie Helene Pouliot is licensed to practice in Connecticut (license number 038992) 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 1982780227.

Contact Information

	Mrs Marie Helene Pouliot, MD
	1062 Barnes Road, Suite 102, Wallingford, CT 06492
	(203) 294-6328
	(203) 294-6346

Map and Direction

Physician's Profile

Full Name	Mrs Marie Helene Pouliot
Gender	Female
Speciality	Pediatrics
Location	1062 Barnes Road, Wallingford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982780227
Provider Enumeration Date: 10/30/2006
Last Update Date: 07/07/2011

Medicare PECOS Information:

PECOS PAC ID: 7517180680
Enrollment ID: I20140516001225

Medical Identifiers

Medical identifiers for Mrs Marie Helene Pouliot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982780227	NPI	-	NPPES
001389924	Medicaid	CT
P2664394	Other		OXFORD
739460	Other		CONNECTICARE
2822247	Other		AETNA
2V5651	Other		HEALTH NET

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	038992 (Connecticut)	Primary
2080A0000X	Pediatrics - Adolescent Medicine	038992 (Connecticut)	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. Mrs Marie Helene Pouliot allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Mrs Marie Helene Pouliot 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
Mrs Marie Helene Pouliot, MD 1062 Barnes Road, Suite 102, Wallingford, CT 06492 Ph: (203) 294-6328	Mrs Marie Helene Pouliot, MD 1062 Barnes Road, Suite 102, Wallingford, CT 06492 Ph: (203) 294-6328

Reviews and Comments

Pediatrics Doctors in Wallingford, CT

Mrs. Lisa Marie Bankowski, RN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1062 Barnes Road, Suite 102, Wallingford, CT 06492 Phone: 203-294-6328 Fax: 203-294-6346
Dr. Steve M Frank, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 97 Barnes Road, Suite 6, Wallingford, CT 06492 Phone: 203-265-9890 Fax: 203-265-3321
Rochelle Turetsky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Gaylord Farms Rd., Wallingford, CT 06492 Phone: 203-284-2800 Fax: 203-679-3598
Allison J Beitel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 97 Barnes Road, Suite 6, Wallingford, CT 06492 Phone: 203-265-9890 Fax: 203-265-3321
Mrs. Kerline Vassell Klaus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1062 Barnes Road, Suite 102, Wallingford, CT 06492 Phone: 203-294-6328 Fax: 203-294-6346
Dr. Miriam Susan Cohen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 97 Barnes Rd, Ste 6, Wallingford, CT 06492 Phone: 203-753-6776 Fax: 203-573-1875
Dr. Vivian P Tsuei, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1062 Barnes Rd, Suite 102, Wallingford, CT 06492 Phone: 203-294-6328

Mrs Marie Helene Pouliot, MD - Medicare Pediatrics in Wallingford, CT