Joseph Whalen, FNP-C - Medicare Internal Medicine in Newington, CT

Joseph Whalen, FNP-C is a medicare enrolled "Internal Medicine" physician in Newington, Connecticut. His current practice location is 375 Willard Ave, Newington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 666-5252.

Joseph Whalen is licensed to practice in Connecticut (license number 12904) 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 1396501326.

Contact Information

Joseph Whalen, FNP-C
375 Willard Ave,
Newington, CT 06111-2300
(860) 666-5252
Not Available

Map and Direction




Physician's Profile

Full NameJoseph Whalen
GenderMale
SpecialityInternal Medicine
Location375 Willard Ave, Newington, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396501326
  • Provider Enumeration Date: 02/27/2024
  • Last Update Date: 02/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597208975
  • Enrollment ID: I20240614000388

Medical Identifiers

Medical identifiers for Joseph Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396501326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 12904 (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. Joseph Whalen 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. Joseph Whalen 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
Joseph Whalen, FNP-C
20 Randy Ln,
Wethersfield, CT 06109-3762

Ph: (860) 550-2418
Joseph Whalen, FNP-C
375 Willard Ave,
Newington, CT 06111-2300

Ph: (860) 666-5252

Reviews and Comments


Internal Medicine Doctors in Newington, CT

Jeffrey Mark Kagan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 365 Willard Ave, Suite 2-d, Newington, CT 06111
Phone: 860-665-1571    Fax: 860-667-3668
Dr. Donald J Curran, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 555 Willard Ave, Newington, CT 06111
Phone: 860-594-6393    Fax: 860-667-6875
Dr. Shahnaz Hussain, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 18 Cedar St, Newington, CT 06111
Phone: 860-667-1244    Fax: 860-666-5153
Alla Turshudzhyan, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 Willard Ave, Newington, CT 06111
Phone: 866-808-7921    
Zied Gaifer Ali,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 372 Cypress Rd, Newington, CT 06111
Phone: 703-919-7279    
Dr. Akhilesh Kumar Singh, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 555 Willard Ave, Newington, CT 06111
Phone: 860-666-6951    
Sarah Finnegan, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 555 Willard Ave, Newington, CT 06111
Phone: 866-808-7921    

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).

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