Mr Mikhail Altan, in Seymour, CT - Medicare Nurse Practitioner

Mr Mikhail Altan, is a medicare enrolled "Nurse Practitioner - Family" in Seymour, Connecticut. His current practice location is 17 Heritage Dr, Seymour, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 610-1148.

Mr Mikhail Altan is licensed to practice in Connecticut (license number 13795) 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 1265248561.

Contact Information

	Mr Mikhail Altan,
	17 Heritage Dr, Seymour, CT 06483-3841
	(203) 610-1148
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mikhail Altan
Gender	Male
Speciality	Nurse Practitioner - Family
Location	17 Heritage Dr, Seymour, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265248561
Provider Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7416486634
Enrollment ID: I20250131002817

Medical Identifiers

Medical identifiers for Mr Mikhail Altan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265248561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13795 (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. Mr Mikhail Altan allows following entities to bill medicare on his behalf.

Entity Name	Connecticut Gi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011

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. Mr Mikhail Altan 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
Mr Mikhail Altan, 17 Heritage Dr, Seymour, CT 06483-3841 Ph: (203) 610-1148	Mr Mikhail Altan, 17 Heritage Dr, Seymour, CT 06483-3841 Ph: (203) 610-1148

Reviews and Comments

Nurse Practitioner Nurses in Seymour, CT

Samentha Gilles, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Old Ansonia Rd, Seymour, CT 06483 Phone: 203-343-8077
Mrs. Jamie Dossantos, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Squantuck Rd, Seymour, CT 06483 Phone: 203-231-6909
Ms. Holly A Major, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Klarides Village Dr, Seymour, CT 06483 Phone: 203-888-5470 Fax: 203-888-5478
Sarah Hassan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 S Main St, Seymour, CT 06483 Phone: 203-690-4907
Laura Guardiano, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 Garden St, Seymour, CT 06483 Phone: 203-906-7406

Mr Mikhail Altan, - Medicare Nurse Practitioner in Seymour, CT