Jennifer Del Carmen Gonzalez-holmes, in Orange, CT

Jennifer Del Carmen Gonzalez-holmes, is a medicare enrolled "Nurse Practitioner" in Orange, Connecticut. Her current practice location is 400 W Campus Dr, Orange, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 785-2389.

Jennifer Del Carmen Gonzalez-holmes is licensed to practice in Connecticut (license number 009060) 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 1265040208.

Contact Information

	Jennifer Del Carmen Gonzalez-holmes,
	400 W Campus Dr, Orange, CT 06477-3646
	(203) 785-2389
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Del Carmen Gonzalez-holmes
Gender	Female
Speciality	Nurse Practitioner
Location	400 W Campus Dr, Orange, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265040208
Provider Enumeration Date: 07/15/2020
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6608301049
Enrollment ID: I20241122000542

Medical Identifiers

Medical identifiers for Jennifer Del Carmen Gonzalez-holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265040208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	157400 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	009060 (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. Jennifer Del Carmen Gonzalez-holmes allows following entities to bill medicare on her behalf.

Entity Name	Fair Haven Community Health Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104803444 PECOS PAC ID: 4183511538 Enrollment ID: O20040302000135

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. Jennifer Del Carmen Gonzalez-holmes 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
Jennifer Del Carmen Gonzalez-holmes, 400 W Campus Dr, Orange, CT 06477-3646 Ph: () -	Jennifer Del Carmen Gonzalez-holmes, 400 W Campus Dr, Orange, CT 06477-3646 Ph: (203) 785-2389

Reviews and Comments

Nurse Practitioner Nurses in Orange, CT

Dominique Nicole Horah-nanez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Indian River Rd Ste C7, Orange, CT 06477 Phone: 203-383-9846
Aram Hosseinpour, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Boston Post Rd, Orange, CT 06477 Phone: 203-298-4599
Miss Tatiana Tumeniuk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Boston Post Rd Ste 202, Orange, CT 06477 Phone: 203-799-1252 Fax: 203-799-3252
Katherine Siegel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 W Campus Dr, Orange, CT 06477 Phone: 203-432-2700
Christopher Defrancesco, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 Boston Post Rd Ste 2f, Orange, CT 06477 Phone: 203-795-0568
Jillian Marie Reid, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd, Orange, CT 06477 Phone: 203-497-3861
Eric Dwight English, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Boston Post Rd Ste 202, Orange, CT 06477 Phone: 203-799-1252 Fax: 203-799-3252

Jennifer Del Carmen Gonzalez-holmes, - Medicare Nurse Practitioner in Orange, CT