Dr Paul J Ceplenski, MD - Medicare Urology in New Britain, CT

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Dr Paul J Ceplenski, MD is a medicare enrolled "Urology" physician in New Britain, Connecticut. He graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as Urology. He is a member of the group practice Starling Physicians, Pllc and his current practice location is 1 Lake St, New Britain, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 826-4453.

Dr Paul J Ceplenski is licensed to practice in Connecticut (license number 022556) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275564205.

Contact Information

Dr Paul J Ceplenski, MD
1 Lake St,
New Britain, CT 06052-1396
(860) 826-4453
(860) 224-6260

Map and Direction




Physician's Profile

Full NameDr Paul J Ceplenski
GenderMale
SpecialityUrology
Experience48 Years
Location1 Lake St, New Britain, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul J Ceplenski graduated from medical school in 1976
  NPI Data:
  • NPI Number: 1275564205
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2365488285
  • Enrollment ID: I20060921000341

Medical Identifiers

Medical identifiers for Dr Paul J Ceplenski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275564205NPI-NPPES
010022556CT04OtherCTBCBS ONE LAKE ST ID
1255448155OtherCTGHMC GROUP NPI
2V8479OtherCTHEALTH NET ID
0203728OtherCTCIGNA
P957088OtherCTOXFORD HEALTH PLAN ID
076772OtherCTCONNECTICARE
1359330OtherCTAETNA ID
010022556CT05OtherCTBCBS 55 MERIDEN AVE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 022556 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Hospital Of Central ConnecticutNew britain, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Starling Physicians, Pllc7517863749209

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. Dr Paul J Ceplenski allows following entities to bill medicare on his behalf.
Entity NameStarling Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467537290
PECOS PAC ID: 7517863749
Enrollment ID: O20031209000877

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. Dr Paul J Ceplenski 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
Dr Paul J Ceplenski, MD
300 Kensington Ave,
New Britain, CT 06051-3916

Ph: (860) 224-6231		Dr Paul J Ceplenski, MD
1 Lake St,
New Britain, CT 06052-1396

Ph: (860) 826-4453

Reviews and Comments


Urology Doctors in New Britain, CT

Dr. Corlis L. Archer-goode, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Lake St, Bldg B2nd, New Britain, CT 06052
Phone: 860-826-4453    Fax: 860-826-6219
Dr. Robert Aj Ave'lallemant, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Lake St, Grove Hill Medical Center, New Britain, CT 06052
Phone: 860-826-4453    Fax: 860-826-6219
Dr. Joshua Aaron Stein, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Lake St, #b, New Britain, CT 06052
Phone: 860-826-4453    
Dr. Keith A Kaplan, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Lake St, New Britain, CT 06052
Phone: 860-826-4453    Fax: 860-826-6219

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.