Mary Alice Marshall-crim, APRN in Hartford, CT

Mary Alice Marshall-crim, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. Her current practice location is 80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 972-2780.

Mary Alice Marshall-crim is licensed to practice in Connecticut (license number 003716) 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 1124299144.

Contact Information

	Mary Alice Marshall-crim, APRN
	80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, CT 06102-5037
	(860) 972-2780
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Alice Marshall-crim
Gender	Female
Speciality	Nurse Practitioner - Family
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: 1124299144
Provider Enumeration Date: 03/18/2008
Last Update Date: 04/17/2013

Medicare PECOS Information:

PECOS PAC ID: 3678645611
Enrollment ID: I20080708000221

Medical Identifiers

Medical identifiers for Mary Alice Marshall-crim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124299144	NPI	-	NPPES
003716	Other	CT	CT LICENSE #
004037164	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	003716 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	003716 (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. Mary Alice Marshall-crim allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

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. Mary Alice Marshall-crim 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
Mary Alice Marshall-crim, APRN Po Box 415933, Hartford Hospital Professional Services, Boston, MA 02241-5933 Ph: (860) 545-7602	Mary Alice Marshall-crim, APRN 80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, CT 06102-5037 Ph: (860) 972-2780

Reviews and Comments

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Audrey Bakanauskas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Cardiology, Hartford, CT 06105 Phone: 860-714-4161 Fax: 860-714-8001

Mary Alice Marshall-crim, APRN - Medicare Nurse Practitioner in Hartford, CT