Mary Jo Puglisi Vasquez, PHD is a medicare enrolled "Psychologist - Clinical" physician in Fairfield, Connecticut. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Northeast Medical Group Inc and her current practice location is
2335 Black Rock Tpke, Hall #2, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 816-0183.
Mary Jo Puglisi Vasquez is licensed to practice in Connecticut (license number 3188) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467572479.
Physician's Profile
| Full Name | Mary Jo Puglisi Vasquez |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 23 Years |
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| Location | 2335 Black Rock Tpke, Fairfield, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Jo Puglisi Vasquez graduated from medical school in 2002
NPI Data:
- NPI Number: 1467572479
- Provider Enumeration Date: 03/31/2007
- Last Update Date: 05/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 8921991993
- Enrollment ID: I20191202001204
Medical Identifiers
Medical identifiers for Mary Jo Puglisi Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467572479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 016768 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3188 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Medical Group Inc | 1254233836 | 1244 |
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. Mary Jo Puglisi Vasquez allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522 |
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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. Mary Jo Puglisi Vasquez 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 |
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Mary Jo Puglisi Vasquez, PHD
2335 Black Rock Tpke, Hall #2,
Fairfield, CT 06825-3220
Ph: (203) 816-0183 | Mary Jo Puglisi Vasquez, PHD
2335 Black Rock Tpke, Hall #2,
Fairfield, CT 06825-3220
Ph: (203) 816-0183 |
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