Jeffrey B Agli, APRN in Hamden, CT - Medicare Nurse Practitioner

Jeffrey B Agli, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hamden, Connecticut. His current practice location is 148 Gillies Rd, Hamden, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 287-9424.

Jeffrey B Agli is licensed to practice in Connecticut (license number 002767) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437483559.

Contact Information

	Jeffrey B Agli, APRN
	148 Gillies Rd, Hamden, CT 06517-2116
	(203) 287-9424
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffrey B Agli
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	148 Gillies Rd, Hamden, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437483559
Provider Enumeration Date: 09/22/2009
Last Update Date: 09/22/2009

Medicare PECOS Information:

PECOS PAC ID: 5294033684
Enrollment ID: I20160419001018

Medical Identifiers

Medical identifiers for Jeffrey B Agli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437483559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	002767 (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. Jeffrey B Agli allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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. Jeffrey B Agli 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
Jeffrey B Agli, APRN 148 Gillies Rd, Hamden, CT 06517-2116 Ph: (203) 287-9424	Jeffrey B Agli, APRN 148 Gillies Rd, Hamden, CT 06517-2116 Ph: (203) 287-9424

Reviews and Comments

Nurse Practitioner Nurses in Hamden, CT

Ashley Victoria Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hideaway Ln, Hamden, CT 06518 Phone: 254-466-6569
Lynda A. Romita, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave, Suite 240, Hamden, CT 06518 Phone: 203-287-5400 Fax: 203-281-3001
Christine Salamida, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Whitney Ave, Suite 360, Hamden, CT 06518 Phone: 203-281-4463
Jennifer Suski, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave Ste 290, Hamden, CT 06518 Phone: 203-903-8308 Fax: 203-599-3927
Deborah J Valin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2080 Whitney Ave Ste 240, Hamden, CT 06518 Phone: 203-281-6228 Fax: 203-248-2881
Diana Greco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2080 Whitney Ave, Suite 250, Hamden, CT 06518 Phone: 203-535-0262
Stephanie P. Perkins, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Whitney Ave, Suite 240, Hamden, CT 06518 Phone: 203-287-5400 Fax: 203-281-3001

Jeffrey B Agli, APRN - Medicare Nurse Practitioner in Hamden, CT