Tabassum A Ali, APRN - Medicare Nurse Practitioner in Waterbury, CT

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Tabassum A Ali, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waterbury, Connecticut. Her current practice location is 141 E Main St, Waterbury Clinicial Services 2nd Floor, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (855) 935-5667.

Tabassum A Ali is licensed to practice in Connecticut (license number 005035) 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 1578819884.

Contact Information

Tabassum A Ali, APRN
141 E Main St, Waterbury Clinicial Services 2nd Floor,
Waterbury, CT 06702
(855) 935-5667
(203) 596-0722

Map and Direction




Provider's Profile

Full NameTabassum A Ali
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location141 E Main St, Waterbury, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578819884
  • Provider Enumeration Date: 07/24/2012
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274830435
  • Enrollment ID: I20160401001993

Medical Identifiers

Medical identifiers for Tabassum A Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578819884NPI-NPPES
060669107OtherCTUBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
12671467OtherCAQH
507335OtherCTMHN/MANAGED HEALTH NETWORK
CSP.0053391OtherCTCONTROLLED SUBSTANCE LICENSE
4853955OtherCTCIGNA BEHAVIORAL HEALTH
9777891OtherCTAETNA BEHAVIORAL HEALTH
060669107OtherCTHCT-HEALTHY CT WELLMORE GRP/FACILITY CONTRACT
060669107OtherCTUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
507335OtherCTTRICARE NORTH
060669107OtherCTANTHEM BCBS OF CT BEHAVIORAL HEALTH-WELLMORE GRP/FACILITY
008042033MedicaidCT
D339209 WATERBURYOtherCTVALUE OPTIONS/BEACON HEALTH STRATEGIES
060669107OtherCTUBH-OXFORD HEALTH/LIBERTY GRP/FACILITY
CSP.0053391OtherCTCONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 98808 (Connecticut)Secondary
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent ANCC2012007952 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 005035 (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. Tabassum A Ali allows following entities to bill medicare on her behalf.
Entity NameStaywell Health Care Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154342335
PECOS PAC ID: 6305750480
Enrollment ID: O20031113000374
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752
Entity NameWellmore Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841379013
PECOS PAC ID: 9931356888
Enrollment ID: O20120828000409

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. Tabassum A Ali 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
Tabassum A Ali, APRN
141 E Main St, 4th Floor Administation,
Waterbury, CT 06702-2310

Ph: (203) 574-9000		Tabassum A Ali, APRN
141 E Main St, Waterbury Clinicial Services 2nd Floor,
Waterbury, CT 06702

Ph: (855) 935-5667

Reviews and Comments


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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.