Shazia Josephine Joseph, APRN is a medicare enrolled "Family Medicine" physician in North Haven, Connecticut. Her current practice location is
12 Village St Ste 5, North Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 843-4629.
Shazia Josephine Joseph is licensed to practice in Connecticut (license number 12.008172) 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 1336703586.
Physician's Profile
Full Name | Shazia Josephine Joseph |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 12 Village St Ste 5, North Haven, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336703586
- Provider Enumeration Date: 04/23/2019
- Last Update Date: 04/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 9133462047
- Enrollment ID: I20190516001843
Medical Identifiers
Medical identifiers for Shazia Josephine Joseph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336703586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 12.008172 (Connecticut) | 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. Shazia Josephine Joseph allows following entities to bill medicare on her behalf.
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
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Entity Name | Sanjay Aggarwal |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730377342 PECOS PAC ID: 4183647654 Enrollment ID: O20060111000032 |
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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. Shazia Josephine Joseph 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 |
Shazia Josephine Joseph, APRN 12 Village St Ste 5, North Haven, CT 06473-3828 Ph: (203) 843-4629 | Shazia Josephine Joseph, APRN 12 Village St Ste 5, North Haven, CT 06473-3828 Ph: (203) 843-4629 |
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