Pratima Upadhyay, LPC - Medicare Counselor in Manchester, CT

Pratima Upadhyay, LPC is a medicare enrolled "Counselor - Professional" provider in Manchester, Connecticut. Her current practice location is 444 Center St, Manchester, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 646-3888.

Pratima Upadhyay is licensed to practice in Connecticut (license number 002506) 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 1336561141.

Contact Information

Pratima Upadhyay, LPC
444 Center St,
Manchester, CT 06040-3926
(860) 646-3888
(860) 645-4132

Map and Direction


Healthcare Provider's Profile

Full NamePratima Upadhyay
GenderFemale
SpecialityCounselor - Professional
Location444 Center St, Manchester, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336561141
  • Provider Enumeration Date: 01/14/2014
  • Last Update Date: 04/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7618328501
  • Enrollment ID: I20240104002240

Medical Identifiers

Medical identifiers for Pratima Upadhyay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336561141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH11928 (Florida)Secondary
101YP2500XCounselor - Professional 002506 (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. Pratima Upadhyay allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Resources, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155

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. Pratima Upadhyay 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
Pratima Upadhyay, LPC
995 Day Hill Rd,
Windsor, CT 06095-1722

Ph: (860) 731-5522
Pratima Upadhyay, LPC
444 Center St,
Manchester, CT 06040-3926

Ph: (860) 646-3888

Reviews and Comments


Counselor in Manchester, CT

Sarah Zwarick,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 587 E Middle Tpke, Manchester, CT 06040
Phone: 860-646-3888    Fax: 860-645-4132
Ms. Karen Franes Foley-schain, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 245 Redwood Rd, Manchester, CT 06040
Phone: 860-508-0332    
Krista Nordmark,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 587 E Middle Tpke, Manchester, CT 06040
Phone: 860-646-3888    Fax: 860-645-4132
Sylvester Esangbedo,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 444 Center St, Manchester, CT 06040
Phone: 860-646-3888    Fax: 860-645-4132
Elsa Reyes,
Counselor
Medicare: Medicare Enrolled
Practice Location: 444 Center St, Manchester, CT 06040
Phone: 860-646-3888    Fax: 860-645-4132
Aliya E Jasensky,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 444 Center St, Manchester, CT 06040
Phone: 860-646-3888    
Lynda Dyer,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 444 Center St, Manchester, CT 06040
Phone: 860-646-3888    

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.