Andrea Dameron, APRN is a medicare enrolled "Nurse Practitioner - Family" in Oakdale, Connecticut. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Whole Self Wellness Llc and her current practice location is
627 Norwich Salem Tpke Unit 2, Oakdale, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 222-0949.
Andrea Dameron is licensed to practice in Connecticut (license number 004768) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356624027.
Provider's Profile
| Full Name | Andrea Dameron |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 627 Norwich Salem Tpke Unit 2, Oakdale, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Andrea Dameron graduated from nursing school in 2011
NPI Data:
- NPI Number: 1356624027
- Provider Enumeration Date: 09/20/2011
- Last Update Date: 11/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981879640
- Enrollment ID: I20111207000413
Medical Identifiers
Medical identifiers for Andrea Dameron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356624027 | NPI | - | NPPES |
| 008035033 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 004768 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Whole Self Wellness Llc | 1850673559 | 4 |
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. Andrea Dameron allows following entities to bill medicare on her behalf.
| Entity Name | Connecticut Children's Specialty Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669448882
PECOS PAC ID: 6002720117
Enrollment ID: O20031113000468 |
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| Entity Name | Whole Self Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588114870
PECOS PAC ID: 1850673559
Enrollment ID: O20170112001502 |
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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. Andrea Dameron 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 |
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Andrea Dameron, APRN
627 Norwich Salem Tpke Unit 2,
Oakdale, CT 06370
Ph: (860) 222-0949 | Andrea Dameron, APRN
627 Norwich Salem Tpke Unit 2,
Oakdale, CT 06370
Ph: (860) 222-0949 |
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