Ivanna Bodnar, NP is a medicare enrolled "Nurse Practitioner" physician in Stamford, Connecticut. Her current practice location is
29 Hospital Plz Ste 505, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 348-2437.
Ivanna Bodnar is licensed to practice in Connecticut (license number 12445) 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 1669259420.
Physician's Profile
| Full Name | Ivanna Bodnar |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 29 Hospital Plz Ste 505, Stamford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669259420
- Provider Enumeration Date: 09/13/2023
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789034703
- Enrollment ID: I20240103000479
Medical Identifiers
Medical identifiers for Ivanna Bodnar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669259420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F09230452 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 12445 (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. Ivanna Bodnar allows following entities to bill medicare on her behalf.
| Entity Name | Stamford Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154633980
PECOS PAC ID: 6901099746
Enrollment ID: O20101025000743 |
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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. Ivanna Bodnar 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 |
|---|
Ivanna Bodnar, NP
29 Hospital Plz Ste 505,
Stamford, CT 06902-3602
Ph: (203) 348-2437 | Ivanna Bodnar, NP
29 Hospital Plz Ste 505,
Stamford, CT 06902-3602
Ph: (203) 348-2437 |
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