Natalie Marie Concannon, PA - Medicare Physician Assistant in Waterford, CT

Natalie Marie Concannon, PA is a medicare enrolled "Physician Assistant - Medical" in Waterford, Connecticut. Her current practice location is 5 Dayton Rd Ste 205, Waterford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 443-4445.

Natalie Marie Concannon is licensed to practice in Connecticut (license number 5660) 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 1720422645.

Contact Information

Natalie Marie Concannon, PA
5 Dayton Rd Ste 205,
Waterford, CT 06385-4279
(860) 443-4445
(860) 447-8961

Map and Direction




Provider's Profile

Full NameNatalie Marie Concannon
GenderFemale
SpecialityPhysician Assistant - Medical
Location5 Dayton Rd Ste 205, Waterford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720422645
  • Provider Enumeration Date: 04/22/2013
  • Last Update Date: 10/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133358591
  • Enrollment ID: I20141028000325

Medical Identifiers

Medical identifiers for Natalie Marie Concannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720422645NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 25MP00473600 (New Jersey)Secondary
363AM0700XPhysician Assistant - Medical 5660 (Connecticut)Primary

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. Natalie Marie Concannon 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
Natalie Marie Concannon, PA
136 Mountainview Blvd,
Basking Ridge, NJ 07920-3444

Ph: (908) 542-3000
Natalie Marie Concannon, PA
5 Dayton Rd Ste 205,
Waterford, CT 06385-4279

Ph: (860) 443-4445

Reviews and Comments


Physician Assistant Nurses in Waterford, CT

Elizabeth Willetts,
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Practice Location: 196 Parkway South, Suite 193, Waterford, CT 06385
Phone: 860-437-6764    Fax: 860-865-2392
Susan K Schroeder, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385
Phone: 860-440-0688    Fax: 860-437-0318
Jodi V Hodge, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 196 Parkway S, Suite 303, Waterford, CT 06385
Phone: 860-443-4455    Fax: 860-447-8961
Russell R Otto, P.A.
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Medicare: Accepting Medicare Assignments
Practice Location: 201 Boston Post Rd, Waterford, CT 06385
Phone: 860-442-0407    Fax: 860-444-2015
Julie Zito, P.A.
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Medicare: Accepting Medicare Assignments
Practice Location: 196 Parkway S, Suite303, Waterford, CT 06385
Phone: 860-443-4455    Fax: 860-447-8961
Amanda Siminerio, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385
Phone: 860-257-4131    
Christopher D. Smith, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385
Phone: 860-440-0688    Fax: 860-437-0318

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.