Micaela Earle Kwochka, PA-S is a medicare enrolled "Physician Assistant" in Monroe, Connecticut. Her current practice location is
17 Sunrise Ter, Monroe, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 814-6292.
Micaela Earle Kwochka is licensed to practice in Connecticut (license number 4884) 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 1215588009.
Provider's Profile
Full Name | Micaela Earle Kwochka |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 17 Sunrise Ter, Monroe, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215588009
- Provider Enumeration Date: 09/24/2019
- Last Update Date: 04/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123422011
- Enrollment ID: I20210816000595
Medical Identifiers
Medical identifiers for Micaela Earle Kwochka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215588009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 4884 (Connecticut) | Primary |
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. Micaela Earle Kwochka 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 |
Micaela Earle Kwochka, PA-S 100 Church St S Ste A230, New Haven, CT 06519-1703 Ph: () - | Micaela Earle Kwochka, PA-S 17 Sunrise Ter, Monroe, CT 06468-2925 Ph: (203) 814-6292 |
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