Miss Itoro Joseph Etim, in Meriden, CT - Medicare Nurse Practitioner

Miss Itoro Joseph Etim, is a medicare enrolled "Nurse Practitioner" in Meriden, Connecticut. Her current practice location is 816 Broad St, Meriden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 238-1125.

Miss Itoro Joseph Etim is licensed to practice in Connecticut (license number 11263) 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 1184334633.

Contact Information

	Miss Itoro Joseph Etim,
	816 Broad St, Meriden, CT 06450-4350
	(203) 238-1125
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Itoro Joseph Etim
Gender	Female
Speciality	Nurse Practitioner
Location	816 Broad St, Meriden, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184334633
Provider Enumeration Date: 11/23/2022
Last Update Date: 03/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8729446539
Enrollment ID: I20230626002418

Medical Identifiers

Medical identifiers for Miss Itoro Joseph Etim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184334633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11263 (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. Miss Itoro Joseph Etim allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Miss Itoro Joseph Etim 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
Miss Itoro Joseph Etim, 547 N Elm St, Wallingford, CT 06492-3268 Ph: (860) 508-8587	Miss Itoro Joseph Etim, 816 Broad St, Meriden, CT 06450-4350 Ph: (203) 238-1125

Reviews and Comments

Nurse Practitioner Nurses in Meriden, CT

Jeannie Mcintosh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677
Jessica M. Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 S Broad St, Meriden, CT 06450 Phone: 203-439-4485
Felistas Mazhandu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53 Church Hill Chase, Meriden, CT 06450 Phone: 860-797-0572
Ingrid Teixeira Furchi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Meriden, CT 06450 Phone: 203-238-1125
Kathryn E Jack, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Lewis Ave, Suite 106, Meriden, CT 06451 Phone: 203-886-0036 Fax: 203-886-0072
Ama Gyimah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 883 Paddock Ave, Meriden, CT 06450 Phone: 877-577-3233

Miss Itoro Joseph Etim, - Medicare Nurse Practitioner in Meriden, CT