Ms Caroline Jane Coffee, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" provider in New Haven, Connecticut. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Medical Group Inc and her current practice location is
1450 Chapel St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(949) 433-0781.
Ms Caroline Jane Coffee is licensed to practice in Connecticut (license number 9762) 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 1336488675.
Healthcare Provider's Profile
| Full Name | Ms Caroline Jane Coffee |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1450 Chapel St, New Haven, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Caroline Jane Coffee graduated from medical school in 2021
NPI Data:
- NPI Number: 1336488675
- Provider Enumeration Date: 02/06/2013
- Last Update Date: 08/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961804000
- Enrollment ID: I20210712001973
Medical Identifiers
Medical identifiers for Ms Caroline Jane Coffee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336488675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 008151 (Connecticut) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 9762 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeast Medical Group Inc | 1254233836 | 1244 |
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 Caroline Jane Coffee allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522 |
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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 Caroline Jane Coffee 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 Caroline Jane Coffee, APRN
1450 Chapel St,
New Haven, CT 06511-4405
Ph: (203) 650-2849 | Ms Caroline Jane Coffee, APRN
1450 Chapel St,
New Haven, CT 06511-4405
Ph: (949) 433-0781 |
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