Kevin William O'connell, - Medicare Physician Assistant in Glastonbury, CT

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Kevin William O'connell, is a medicare enrolled "Physician Assistant" in Glastonbury, Connecticut. His current practice location is 325 Cedar Ridge Dr, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 930-3053.

Kevin William O'connell is licensed to practice in NU (license number ) 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 1104469477.

Contact Information

Kevin William O'connell,
325 Cedar Ridge Dr,
Glastonbury, CT 06033-1817
(860) 930-3053
Not Available

Map and Direction




Provider's Profile

Full NameKevin William O'connell
GenderMale
SpecialityPhysician Assistant
Location325 Cedar Ridge Dr, Glastonbury, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104469477
  • Provider Enumeration Date: 10/19/2019
  • Last Update Date: 10/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5092137554
  • Enrollment ID: I20200630000590

Medical Identifiers

Medical identifiers for Kevin William O'connell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104469477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)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. Kevin William O'connell allows following entities to bill medicare on his behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameChs Physician Partners PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407089345
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027

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. Kevin William O'connell 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 AddressPractice Location Address
Kevin William O'connell,
325 Cedar Ridge Dr,
Glastonbury, CT 06033-1817

Ph: (860) 930-3053		Kevin William O'connell,
325 Cedar Ridge Dr,
Glastonbury, CT 06033-1817

Ph: (860) 930-3053

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.