Alyssa Marie Gambardella, APRN in Westbrook, CT

Alyssa Marie Gambardella, APRN is a medicare enrolled "Nurse Practitioner" in Westbrook, Connecticut. Her current practice location is 4 Grove Beach Rd N Ste 1b, Westbrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 434-2960.

Alyssa Marie Gambardella is licensed to practice in Connecticut (license number 12373) 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 1154109718.

Contact Information

	Alyssa Marie Gambardella, APRN
	4 Grove Beach Rd N Ste 1b, Westbrook, CT 06498-1656
	(475) 434-2960
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyssa Marie Gambardella
Gender	Female
Speciality	Nurse Practitioner
Location	4 Grove Beach Rd N Ste 1b, Westbrook, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154109718
Provider Enumeration Date: 09/15/2023
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3072963750
Enrollment ID: I20231220003532

Medical Identifiers

Medical identifiers for Alyssa Marie Gambardella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154109718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	12373 (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. Alyssa Marie Gambardella allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Alyssa Marie Gambardella 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
Alyssa Marie Gambardella, APRN 14307 Maple Tree Ln, East Lyme, CT 06333-1757 Ph: (860) 754-4234	Alyssa Marie Gambardella, APRN 4 Grove Beach Rd N Ste 1b, Westbrook, CT 06498-1656 Ph: (475) 434-2960

Reviews and Comments

Nurse Practitioner Nurses in Westbrook, CT

Megin Iaccarino, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498 Phone: 860-664-3553 Fax: 860-358-8656
Melissa Kay Tuohy, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Grove Beach Rd N, Westbrook, CT 06498 Phone: 475-434-2690
Mrs. Tara T.s. Fagan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Flat Rock Pl, Westbrook, CT 06498 Phone: 860-358-3760
Ms. Laura E. Wing, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656
Cassandra Cotter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Pequot Park Rd Ste 301, Westbrook, CT 06498 Phone: 860-399-6167 Fax: 860-399-6730
Ms. Anna Marie Noyes, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Christina Ln, Westbrook, CT 06498 Phone: 203-668-5357

Alyssa Marie Gambardella, APRN - Medicare Nurse Practitioner in Westbrook, CT