Chatram Mahabal, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Uncasville, Connecticut. His current practice location is
88 Norwich New London Tpke Ste 2, Uncasville, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 477-7072.
Chatram Mahabal is licensed to practice in Connecticut (license number 12185) 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 1972283208.
Physician's Profile
Full Name | Chatram Mahabal |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 88 Norwich New London Tpke Ste 2, Uncasville, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972283208
- Provider Enumeration Date: 07/21/2023
- Last Update Date: 08/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759823065
- Enrollment ID: I20240607003250
Medical Identifiers
Medical identifiers for Chatram Mahabal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972283208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RN0300X | Internal Medicine - Nephrology | 12185 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 12185 (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. Chatram Mahabal allows following entities to bill medicare on his behalf.
Entity Name | Southeastern Ct Nephrology Assoc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619031796 PECOS PAC ID: 3971554197 Enrollment ID: O20050204000632 |
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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. Chatram Mahabal 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 |
Chatram Mahabal, FNP-BC 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518 Ph: (860) 477-7072 | Chatram Mahabal, FNP-BC 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518 Ph: (860) 477-7072 |
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