Katie Lynn Dziedzic, APRN in Hartford, CT - Medicare Nurse Practitioner

Katie Lynn Dziedzic, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Hartford, Connecticut. Her current practice location is 80 Seymour Street, Hartford Hospital Cardiology Dept, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-4398.

Katie Lynn Dziedzic is licensed to practice in Connecticut (license number 004533) 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 1093019234.

Contact Information

	Katie Lynn Dziedzic, APRN
	80 Seymour Street, Hartford Hospital Cardiology Dept, Hartford, CT 06102-5037
	(860) 545-4398
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Lynn Dziedzic
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	80 Seymour Street, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093019234
Provider Enumeration Date: 01/03/2011
Last Update Date: 04/02/2012

Medicare PECOS Information:

PECOS PAC ID: 1850575804
Enrollment ID: I20110415000300

Medical Identifiers

Medical identifiers for Katie Lynn Dziedzic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093019234	NPI	-	NPPES
004045332	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	004533 (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. Katie Lynn Dziedzic allows following entities to bill medicare on her behalf.

Entity Name	Middlesex Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972563138 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000592

Entity Name	Mhs Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366968182 PECOS PAC ID: 4082507371 Enrollment ID: O20171214000461

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. Katie Lynn Dziedzic 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
Katie Lynn Dziedzic, APRN P.o. Box 415933, Hartford Hospital Professional Services, Boston, MA 02241-5933 Ph: (860) 545-7602	Katie Lynn Dziedzic, APRN 80 Seymour Street, Hartford Hospital Cardiology Dept, Hartford, CT 06102-5037 Ph: (860) 545-4398

Reviews and Comments

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Marlo L Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Seymour St, Hartford, CT 06106 Phone: 860-972-0475
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Katie Lynn Dziedzic, APRN - Medicare Nurse Practitioner in Hartford, CT