Judy D Mamaclay, MD in Mystic, CT - Medicare Internal Medicine

Judy D Mamaclay, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Mystic, Connecticut. Her current practice location is 3 Heron Rd, Mystic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 536-6442.

Judy D Mamaclay is licensed to practice in Connecticut (license number 040859) 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 1457357618.

Contact Information

	Judy D Mamaclay, MD
	3 Heron Rd, Mystic, CT 06355-3253
	(860) 536-6442
	(860) 536-6442

Map and Direction

Physician's Profile

Full Name	Judy D Mamaclay
Gender	Female
Speciality	Internal Medicine - Geriatric Medicine
Location	3 Heron Rd, Mystic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457357618
Provider Enumeration Date: 06/22/2005
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3072537935
Enrollment ID: I20131011000723

Medical Identifiers

Medical identifiers for Judy D Mamaclay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457357618	NPI	-	NPPES
001408592	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	040859 (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. Judy D Mamaclay allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Judy D Mamaclay 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
Judy D Mamaclay, MD 3 Heron Rd, Mystic, CT 06355-3253 Ph: (860) 536-6442	Judy D Mamaclay, MD 3 Heron Rd, Mystic, CT 06355-3253 Ph: (860) 536-6442

Reviews and Comments

Internal Medicine Doctors in Mystic, CT

Dr. Sumeet Sanjeev Pawar, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr Ste 301, Mystic, CT 06355 Phone: 860-572-5400
Mr. Edmund A P West, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 56 Whitehall Ave, Rt 27, Mystic, CT 06355 Phone: 860-572-8282 Fax: 860-572-7445
Dr. David Salm, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Main St Ste 11-205, Mystic, CT 06355 Phone: 860-421-1090 Fax: 860-421-1091
Dr. Thomas March Blum, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355 Phone: 860-572-8911 Fax: 860-572-7758
Dr. James David Scarles, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355 Phone: 860-572-8911 Fax: 860-572-7758
Dr. Adam F Niedelman, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr Ste 301, Mystic, CT 06355 Phone: 860-572-5400
Dr. Howard Brensilver, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355 Phone: 860-572-8911 Fax: 860-572-7758

Judy D Mamaclay, MD - Medicare Internal Medicine in Mystic, CT