Simone-elise Stern Hasselmo, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. Her current practice location is
300 George St Ste 901, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 785-2095.
Simone-elise Stern Hasselmo is licensed to practice in * (Not Available) (license number ) 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 1366132797.
Physician's Profile
| Full Name | Simone-elise Stern Hasselmo |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 300 George St Ste 901, New 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: 1366132797
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 01/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 9335508977
- Enrollment ID: I20230629003491
Medical Identifiers
Medical identifiers for Simone-elise Stern Hasselmo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366132797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 82534 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Simone-elise Stern Hasselmo 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 |
Simone-elise Stern Hasselmo, 300 George St Ste 901, New Haven, CT 06511-6662 Ph: (203) 785-2095 | Simone-elise Stern Hasselmo, 300 George St Ste 901, New Haven, CT 06511-6662 Ph: (203) 785-2095 |
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