Mrs Tracy Hawthorne, PA - Medicare Physician Assistant in Willimantic, CT

  1. Home
  2. Physician Assistant
  3. CT
  4. Willimantic
Mrs Tracy Hawthorne, PA is a medicare enrolled "Physician Assistant" in Willimantic, Connecticut. Her current practice location is 112 Mansfield Ave, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 456-9116.

Mrs Tracy Hawthorne is licensed to practice in Connecticut (license number 001685) 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 1528046646.

Contact Information

Mrs Tracy Hawthorne, PA
112 Mansfield Ave,
Willimantic, CT 06226-2045
(860) 456-9116
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tracy Hawthorne
GenderFemale
SpecialityPhysician Assistant
Location112 Mansfield Ave, Willimantic, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528046646
  • Provider Enumeration Date: 01/09/2006
  • Last Update Date: 08/12/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9638195837
  • Enrollment ID: I20051018000046

Medical Identifiers

Medical identifiers for Mrs Tracy Hawthorne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528046646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001685 (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 Tracy Hawthorne allows following entities to bill medicare on her behalf.
Entity NameNes Medical Services of Northern Connecticut, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447231865
PECOS PAC ID: 7315843968
Enrollment ID: O20040112000084
Entity NameNortheast Emergency Medicine Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982889598
PECOS PAC ID: 8729157797
Enrollment ID: O20080516000028
Entity NameNems PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114482882
PECOS PAC ID: 2466792833
Enrollment ID: O20190321000650

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 Tracy Hawthorne 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 AddressPractice Location Address
Mrs Tracy Hawthorne, PA
112 Mansfield Ave,
Willimantic, CT 06226-2045

Ph: (860) 456-9116		Mrs Tracy Hawthorne, PA
112 Mansfield Ave,
Willimantic, CT 06226-2045

Ph: (860) 456-9116

Reviews and Comments


Physician Assistant Nurses in Willimantic, CT

Donna Jean Romano, RPA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-9116    
Julia Charpentier,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5 Founders St Ste 200, Willimantic, CT 06226
Phone: 860-456-5330    
Kevin Jones, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-9116    
Kathyrn Amanda Konow,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5 Founders St Ste 100, Willimantic, CT 06226
Phone: 864-239-7640    
Christian Aguilar, PA-C, RDN
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 49 Gifford Ave, Willimantic, CT 06226
Phone: 860-634-1821    
Mrs. Katherine Marie Baird, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-423-6410    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.