Ms Elysa Maria Doherty-fisher, APRN - Medicare Nurse Practitioner in Marlborough, CT

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Ms Elysa Maria Doherty-fisher, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Marlborough, Connecticut. Her current practice location is 22 Thomassian Dr, Marlborough, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 508-7789.

Ms Elysa Maria Doherty-fisher is licensed to practice in Connecticut (license number 02377) 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 1386621266.

Contact Information

Ms Elysa Maria Doherty-fisher, APRN
22 Thomassian Dr,
Marlborough, CT 06447-1398
(860) 508-7789
Not Available

Map and Direction




Provider's Profile

Full NameMs Elysa Maria Doherty-fisher
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location22 Thomassian Dr, Marlborough, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386621266
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 02/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951347822
  • Enrollment ID: I20050630000445

Medical Identifiers

Medical identifiers for Ms Elysa Maria Doherty-fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386621266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 02377 (Connecticut)Secondary
363LA2200XNurse Practitioner - Adult Health 02377 (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. Ms Elysa Maria Doherty-fisher allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Resources, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155
Entity NameHarvest Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477712917
PECOS PAC ID: 9931276979
Enrollment ID: O20080917000499
Entity NameSunrise Psychological Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699199869
PECOS PAC ID: 7911130216
Enrollment ID: O20140512000200
Entity NameImpact Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730694316
PECOS PAC ID: 0941562664
Enrollment ID: O20180316001315
Entity NameStep Up Care Pc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154884740
PECOS PAC ID: 5496088346
Enrollment ID: O20190607000156
Entity NameImpact Health Psych Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730781022
PECOS PAC ID: 6204248149
Enrollment ID: O20201217000105

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. Ms Elysa Maria Doherty-fisher 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
Ms Elysa Maria Doherty-fisher, APRN
22 Thomassian Dr,
Marlborough, CT 06447-1398

Ph: (860) 508-7789		Ms Elysa Maria Doherty-fisher, APRN
22 Thomassian Dr,
Marlborough, CT 06447-1398

Ph: (860) 508-7789

Reviews and Comments


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Jennifer Rey, APRN
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Phone: 860-295-8217    Fax: 860-295-9734
Jennifer Whittaker, APRN
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Practice Location: 85 Stage Harbor Rd, Marlborough, CT 06447
Phone: 203-497-3861    
Stephen Kivlin, NP-C
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Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447
Phone: 860-295-8217    

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.