Pamela Nicole Martin Line, APRN in Prospect, CT

Pamela Nicole Martin Line, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Prospect, Connecticut. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Real Talk Ct and her current practice location is 104 Waterbury Rd Unit B, Prospect, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 479-1586.

Pamela Nicole Martin Line is licensed to practice in Connecticut (license number 13536) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275371577.

Contact Information

	Pamela Nicole Martin Line, APRN
	104 Waterbury Rd Unit B, Prospect, CT 06712-1253
	(860) 479-1586
	Not Available

Map and Direction

Provider's Profile

Full Name	Pamela Nicole Martin Line
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	104 Waterbury Rd Unit B, Prospect, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Pamela Nicole Martin Line graduated from nursing school in 2024

NPI Data:

NPI Number: 1275371577
Provider Enumeration Date: 07/19/2024
Last Update Date: 12/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0345772919
Enrollment ID: I20241021002958

Medical Identifiers

Medical identifiers for Pamela Nicole Martin Line such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275371577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	152185 (Connecticut)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	13536 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Real Talk Ct	5395182554	7

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. Pamela Nicole Martin Line allows following entities to bill medicare on her behalf.

Entity Name	Real Talk Ct
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467948752 PECOS PAC ID: 5395182554 Enrollment ID: O20240322003292

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. Pamela Nicole Martin Line 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
Pamela Nicole Martin Line, APRN 104 Waterbury Rd Unit B, Prospect, CT 06712-1253 Ph: (860) 479-1586	Pamela Nicole Martin Line, APRN 104 Waterbury Rd Unit B, Prospect, CT 06712-1253 Ph: (860) 479-1586

Reviews and Comments

Nurse Practitioner Nurses in Prospect, CT

Tonya Goodman, APRN-PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Waterbury Rd, Prospect, CT 06712 Phone: 860-479-1586
John Anderson, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Waterbury Rd Ste 1, Prospect, CT 06712 Phone: 203-758-5660
Rebecca Anne Sopelak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Waterbury Rd, Prospect, CT 06712 Phone: 203-758-5660
Mrs. Krisztina Zsuzsanna Mauriz, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Luke St, Prospect, CT 06712 Phone: 203-808-2034
Dasha Arsenault, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 Maple Dr, Prospect, CT 06712 Phone: 203-707-6273
Elizabeth Palchick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Radio Tower Rd, Prospect, CT 06712 Phone: 203-520-2460
Mrs. Carla M Rosato, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Nancy Mae Ave, Prospect, CT 06712 Phone: 203-528-7652

Pamela Nicole Martin Line, APRN - Medicare Nurse Practitioner in Prospect, CT