Ms Kerry Rose Stephenson, APRN in Middletown, CT

Ms Kerry Rose Stephenson, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Middletown, Connecticut. Her current practice location is 575 Main St Fl 2, Attn: Credentialing Dpt, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 347-6971.

Ms Kerry Rose Stephenson is licensed to practice in Connecticut (license number 003654) 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 1497944425.

Contact Information

	Ms Kerry Rose Stephenson, APRN
	575 Main St Fl 2, Attn: Credentialing Dpt, Middletown, CT 06457-2845
	(860) 347-6971
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kerry Rose Stephenson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	575 Main St Fl 2, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497944425
Provider Enumeration Date: 10/16/2007
Last Update Date: 02/09/2012

Medicare PECOS Information:

PECOS PAC ID: 5193806370
Enrollment ID: I20080114000425

Medical Identifiers

Medical identifiers for Ms Kerry Rose Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497944425	NPI	-	NPPES
004236338	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	003654 (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 Kerry Rose Stephenson allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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 Kerry Rose Stephenson 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
Ms Kerry Rose Stephenson, APRN 1 Shaws Cv, New London, CT 06320-4902 Ph: (860) 447-8304	Ms Kerry Rose Stephenson, APRN 575 Main St Fl 2, Attn: Credentialing Dpt, Middletown, CT 06457-2845 Ph: (860) 347-6971

Reviews and Comments

Nurse Practitioner Nurses in Middletown, CT

Christina M Barrows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6394 Fax: 860-358-6748
Kendall Elizabeth Cote, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-942-6983
Mr. Ananias Gloria Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 215, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859
Danielle Langer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd Ste 205, Middletown, CT 06457 Phone: 860-346-7738 Fax: 860-347-2097
Jennifer Carta Pons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd, Middletown, CT 06457 Phone: 860-344-0333 Fax: 860-343-5957
Mae Joy E. Falk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Nutmeg Ct, Middletown, CT 06457 Phone: 860-346-4133
Tina M Taylor, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Saybrook Rd Ste 206, Middletown, CT 06457 Phone: 860-344-0333

Ms Kerry Rose Stephenson, APRN - Medicare Nurse Practitioner in Middletown, CT