Nicholas Mudry, in Hartford, CT - Medicare Nurse Practitioner

Nicholas Mudry, is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. His current practice location is 282 Washington St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 545-9440.

Nicholas Mudry is licensed to practice in Connecticut (license number 12235) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326752684.

Contact Information

	Nicholas Mudry,
	282 Washington St, Hartford, CT 06106-3322
	(860) 545-9440
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Mudry
Gender	Male
Speciality	Nurse Practitioner - Family
Location	282 Washington St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326752684
Provider Enumeration Date: 01/11/2023
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 0941663397
Enrollment ID: I20230831004248

Medical Identifiers

Medical identifiers for Nicholas Mudry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326752684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	143925 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	12235 (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. Nicholas Mudry allows following entities to bill medicare on his 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

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Nicholas Mudry 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
Nicholas Mudry, 158 Broad St Apt H, Milford, CT 06460-4758 Ph: () -	Nicholas Mudry, 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9440

Reviews and Comments

Nurse Practitioner Nurses in Hartford, CT

Caitlin R Rival, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-253-5020
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786
Marlo L Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Seymour St, Hartford, CT 06106 Phone: 860-972-0475
Olivia Holubecki, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9290

Nicholas Mudry, - Medicare Nurse Practitioner in Hartford, CT