Carly Brueggestrat, CRNA is a medicare enrolled "Anesthesiologist Assistant" in Stratford, Connecticut. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Yale University and her current practice location is
7365 Main St, Stratford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 384-3174.
Carly Brueggestrat is licensed to practice in Connecticut (license number 0044440) 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 1871814509.
Provider's Profile
| Full Name | Carly Brueggestrat |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 14 Years |
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| Location | 7365 Main St, Stratford, 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:
- Carly Brueggestrat graduated from nursing school in 2010
NPI Data:
- NPI Number: 1871814509
- Provider Enumeration Date: 06/16/2010
- Last Update Date: 10/11/2010
Medicare PECOS Information:
- PECOS PAC ID: 2961526637
- Enrollment ID: I20100901000825
Medical Identifiers
Medical identifiers for Carly Brueggestrat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871814509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 074163 (Connecticut) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 0044440 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Yale University | 9436061736 | 2241 |
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. Carly Brueggestrat allows following entities to bill medicare on her behalf.
| Entity Name | Yale University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015 |
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| Entity Name | Bridgeport Anesthesia Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174549257
PECOS PAC ID: 7113824616
Enrollment ID: O20031215000038 |
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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. Carly Brueggestrat 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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Carly Brueggestrat, CRNA
7365 Main St,
Stratford, CT 06614-1300
Ph: (203) 384-3174 | Carly Brueggestrat, CRNA
7365 Main St,
Stratford, CT 06614-1300
Ph: (203) 384-3174 |
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