Dr Rebecca Jou Baldassarri, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in West Haven, Connecticut. Her current practice location is
950 Campbell Ave, Building 1 Room 1171, West Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 932-5711.
Dr Rebecca Jou Baldassarri is licensed to practice in Connecticut (license number 54037) 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 1366769572.
Physician's Profile
Full Name | Dr Rebecca Jou Baldassarri |
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Gender | Female |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 950 Campbell Ave, West Haven, 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: 1366769572
- Provider Enumeration Date: 04/27/2010
- Last Update Date: 09/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 8325350465
- Enrollment ID: I20150702001378
Medical Identifiers
Medical identifiers for Dr Rebecca Jou Baldassarri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366769572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 54037 (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. Dr Rebecca Jou Baldassarri allows following entities to bill medicare on her behalf.
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
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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. Dr Rebecca Jou Baldassarri 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 |
Dr Rebecca Jou Baldassarri, MD 950 Campbell Ave, Building 1 Room 1171, West Haven, CT 06516-2770 Ph: (203) 932-5711 | Dr Rebecca Jou Baldassarri, MD 950 Campbell Ave, Building 1 Room 1171, West Haven, CT 06516-2770 Ph: (203) 932-5711 |
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