Mrs Eliza Outtrim, APRN in East Haven, CT - Medicare Nurse Practitioner

Mrs Eliza Outtrim, APRN is a medicare enrolled "Nurse Practitioner - Family" in East Haven, Connecticut. Her current practice location is 205 Main St, East Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 376-8082.

Mrs Eliza Outtrim is licensed to practice in Connecticut (license number 13010) 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 1316703689.

Contact Information

	Mrs Eliza Outtrim, APRN
	205 Main St, East Haven, CT 06512-3003
	(203) 376-8082
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Eliza Outtrim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	205 Main St, East Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316703689
Provider Enumeration Date: 02/26/2024
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2466893938
Enrollment ID: I20240515001004

Medical Identifiers

Medical identifiers for Mrs Eliza Outtrim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316703689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13010 (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. Mrs Eliza Outtrim allows following entities to bill medicare on her behalf.

Entity Name	Fpim Of New Haven County,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598795205 PECOS PAC ID: 1456373562 Enrollment ID: O20060103000395

Entity Name	Novella Medicine Services Of Massachusetts Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689316283 PECOS PAC ID: 2769863935 Enrollment ID: O20230109001456

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. Mrs Eliza Outtrim 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
Mrs Eliza Outtrim, APRN 205 Main St, East Haven, CT 06512-3003 Ph: () -	Mrs Eliza Outtrim, APRN 205 Main St, East Haven, CT 06512-3003 Ph: (203) 376-8082

Reviews and Comments

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Jessica Ricciardelli, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, East Haven, CT 06512 Phone: 203-469-8882 Fax: 203-467-9973
Mrs. Domanice Poindexter, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Caremore Health, 444 Foxon Rd, East Haven, CT 06513 Phone: 203-533-5911 Fax: 475-238-6372

Mrs Eliza Outtrim, APRN - Medicare Nurse Practitioner in East Haven, CT