Mrs Carly M Odesina, APRN in Portland, CT - Medicare Nurse Practitioner

Mrs Carly M Odesina, APRN is a medicare enrolled "Nurse Practitioner - Family" in Portland, Connecticut. Her current practice location is 270 Main St, Portland, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 342-3392.

Mrs Carly M Odesina is licensed to practice in Connecticut (license number 12.006642) 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 1548610959.

Contact Information

	Mrs Carly M Odesina, APRN
	270 Main St, Portland, CT 06480-1836
	(860) 342-3392
	(860) 358-8658

Map and Direction

Provider's Profile

Full Name	Mrs Carly M Odesina
Gender	Female
Speciality	Nurse Practitioner - Family
Location	270 Main St, Portland, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548610959
Provider Enumeration Date: 06/16/2016
Last Update Date: 09/14/2018

Medicare PECOS Information:

PECOS PAC ID: 6204122054
Enrollment ID: I20160906000669

Medical Identifiers

Medical identifiers for Mrs Carly M Odesina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548610959	NPI	-	NPPES
008067661	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12.006642 (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. Mrs Carly M Odesina allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

Entity Name	Hartford Healthcare Urgent Care Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464

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. Mrs Carly M Odesina 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
Mrs Carly M Odesina, APRN 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-4820	Mrs Carly M Odesina, APRN 270 Main St, Portland, CT 06480-1836 Ph: (860) 342-3392

Reviews and Comments

Nurse Practitioner Nurses in Portland, CT

Morgan Bryant Feshler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Main St Ste A, Portland, CT 06480 Phone: 860-358-5040
Mrs. Wendy Griswold, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Main St, Portland, CT 06480 Phone: 860-342-3392 Fax: 860-358-8658
Miss Gabrielle Elizabeth Schiavone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Main St Ste A, Portland, CT 06480 Phone: 860-358-5040 Fax: 860-358-8658
Ms. Wendy Ann Tagan Conroy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Main St, Portland, CT 06480 Phone: 860-342-3392 Fax: 860-358-8658

Mrs Carly M Odesina, APRN - Medicare Nurse Practitioner in Portland, CT