Clarisse Melinda Fong San Juan, MD - Medicare Physical Medicine & Rehabilitation in New Haven, CT

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Clarisse Melinda Fong San Juan, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in New Haven, Connecticut. Her current practice location is 20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 688-4242.

Clarisse Melinda Fong San Juan is licensed to practice in Connecticut (license number 72590) 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 1245750132.

Contact Information

Clarisse Melinda Fong San Juan, MD
20 York St,
New Haven, CT 06510-3220
(203) 688-4242
Not Available

Map and Direction




Physician's Profile

Full NameClarisse Melinda Fong San Juan
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location20 York St, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245750132
  • Provider Enumeration Date: 06/22/2017
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759762560
  • Enrollment ID: I20231019002888

Medical Identifiers

Medical identifiers for Clarisse Melinda Fong San Juan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245750132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 72590 (Connecticut)Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 72590 (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. Clarisse Melinda Fong San Juan allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015

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. Clarisse Melinda Fong San Juan 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
Clarisse Melinda Fong San Juan, MD
20 York St,
New Haven, CT 06510-3220

Ph: (203) 688-4242		Clarisse Melinda Fong San Juan, MD
20 York St,
New Haven, CT 06510-3220

Ph: (203) 688-4242

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in New Haven, CT

Mr. Robin D Raju, D.O
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Phone: 203-688-8800    
Dr. Marc Lewis Rosen, MD
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Mrs. Nycaine Anderson, MD
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Medicare: Medicare Enrolled
Practice Location: 1450 Chapel St., New Haven, CT 06511
Phone: 203-789-3868    Fax: 203-867-5446
Catherine Aileen Chagnon,
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Practice Location: 800 Howard Ave, New Haven, CT 06519
Phone: 203-688-6811    
Martin P Hasenfeld, MD
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 330 Orchard St, Suite 316, New Haven, CT 06511
Phone: 203-781-3400    Fax: 203-781-3414
Dr. Mark Dundas, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1 Long Wharf Dr Fl 6, New Haven, CT 06511
Phone: 206-688-8800    Fax: 203-688-6633

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.