Carly Melissa Madore, APRN in Niantic, CT - Medicare Nurse Practitioner

Carly Melissa Madore, APRN is a medicare enrolled "Nurse Practitioner - Family" in Niantic, Connecticut. Her current practice location is 248 Flanders Rd, Niantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 739-5426.

Carly Melissa Madore is licensed to practice in Connecticut (license number 004830) 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 1396012498.

Contact Information

	Carly Melissa Madore, APRN
	248 Flanders Rd, Niantic, CT 06357-1264
	(860) 739-5426
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Melissa Madore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	248 Flanders Rd, Niantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396012498
Provider Enumeration Date: 11/18/2011
Last Update Date: 09/25/2015

Medicare PECOS Information:

PECOS PAC ID: 1052536570
Enrollment ID: I20140625001650

Medical Identifiers

Medical identifiers for Carly Melissa Madore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396012498	NPI	-	NPPES
D400170759	Other	CT	MEDICARE- NGS
1396012498	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	4830 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	004830 (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. Carly Melissa Madore allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

Entity Name	Child And Family Agency Of Southeastern Connecticut, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225797921 PECOS PAC ID: 2163756982 Enrollment ID: O20220426001904

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 Melissa Madore 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
Carly Melissa Madore, APRN 32 Plains Rd, Haddam, CT 06438-1259 Ph: (860) 714-7420	Carly Melissa Madore, APRN 248 Flanders Rd, Niantic, CT 06357-1264 Ph: (860) 739-5426

Reviews and Comments

Nurse Practitioner Nurses in Niantic, CT

Mrs. Pamela Dhillon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 West Main St, Niantic, CT 06357 Phone: 860-691-6959
Laura Jean Brewster, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 1-3, Niantic, CT 06357 Phone: 860-385-4949 Fax: 860-410-4530
Ms. Luanne Benshimol, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 248 Flanders Rd, Niantic, CT 06357 Phone: 860-739-5426 Fax: 860-739-0063
Erica L Lussier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Flanders Rd, Niantic, CT 06357 Phone: 860-739-5426
Ms. Juanita Schmitt Durham, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 W Main St, Niantic, CT 06357 Phone: 860-691-6856 Fax: 860-691-6900
Erin Colella, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Flanders Rd, Niantic, CT 06357 Phone: 860-739-5426
Jessica Persad, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 W Main St, Niantic, CT 06357 Phone: 860-334-8755

Carly Melissa Madore, APRN - Medicare Nurse Practitioner in Niantic, CT