Ms Karen Mcguiness, APRN - Medicare Nurse Practitioner in Meriden, CT

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Ms Karen Mcguiness, APRN is a medicare enrolled "Nurse Practitioner - Neonatal" in Meriden, Connecticut. Her current practice location is 435 Lewis Ave, Meriden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 284-1340.

Ms Karen Mcguiness is licensed to practice in Connecticut (license number 001084) 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 1467541243.

Contact Information

Ms Karen Mcguiness, APRN
435 Lewis Ave,
Meriden, CT 06451-2101
(203) 284-1340
(203) 265-4557

Map and Direction




Provider's Profile

Full NameMs Karen Mcguiness
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location435 Lewis Ave, Meriden, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467541243
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 03/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769767441
  • Enrollment ID: I20170320001885

Medical Identifiers

Medical identifiers for Ms Karen Mcguiness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467541243NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 001084 (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 Karen Mcguiness allows following entities to bill medicare on her behalf.
Entity NameConnecticut Children's Specialty Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669448882
PECOS PAC ID: 6002720117
Enrollment ID: O20031113000468

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 Karen Mcguiness 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 Karen Mcguiness, APRN
Po Box 4131,
Yalesville, CT 06492-1481

Ph: (203) 284-1340		Ms Karen Mcguiness, APRN
435 Lewis Ave,
Meriden, CT 06451-2101

Ph: (203) 284-1340

Reviews and Comments


Nurse Practitioner Nurses in Meriden, CT

Brenna Dion, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 134 State St, Meriden, CT 06450
Phone: 203-237-2229    Fax: 203-686-1677
Marta Fedorko,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 435 Lewis Ave, Meriden, CT 06451
Phone: 203-694-8200    
Danielle Marie Montesanto, APRN, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 134 State St, Meriden, CT 06450
Phone: 203-237-2229    Fax: 203-686-1677
Jeannie Mcintosh, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 134 State St, Meriden, CT 06450
Phone: 203-237-2229    Fax: 203-686-1677
Julia Berndt Rapp, PNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 134 State St, Meriden, CT 06450
Phone: 203-237-2229    Fax: 203-686-1677
Brenna Keogh, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
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    

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.