Michelle Nisenbaum, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Waterbury, Connecticut. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Nuvance Health Medical Practice Ct Inc and her current practice location is
1320 West Main St, Bldg 2, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 755-9355.
Michelle Nisenbaum is licensed to practice in Connecticut (license number 043409) 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 1639259252.
Physician's Profile
| Full Name | Michelle Nisenbaum |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 24 Years |
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| Location | 1320 West Main St, Waterbury, 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:
- Michelle Nisenbaum graduated from medical school in 2000
NPI Data:
- NPI Number: 1639259252
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 09/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 4183650567
- Enrollment ID: I20050718000301
Medical Identifiers
Medical identifiers for Michelle Nisenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639259252 | NPI | - | NPPES |
| 3821999 | Other | | AETNA US HEALTH CARE |
| P00296425 | Other | | RAILROAD MEDICARE |
| 2771432 | Other | | CIGNA |
| 2V7481 | Other | | HEALTH NET |
| 2525598 | Other | | UNITED HEALTH CARE |
| 001434092 | Medicaid | CT | |
| 010043409CT01 | Other | CT | ANTHEM BCBS OF CT |
| P3673144 | Other | | OXFORD |
| 043409 | Other | | CONNECTICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 043409 (Connecticut) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 043409 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nuvance Health Medical Practice Ct Inc | 4789597691 | 642 |
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. Michelle Nisenbaum allows following entities to bill medicare on her behalf.
| Entity Name | Nuvance Health Medical Practice Ct Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407898117
PECOS PAC ID: 4789597691
Enrollment ID: O20031205000130 |
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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. Michelle Nisenbaum 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 |
|---|
Michelle Nisenbaum, MD
1320 West Main St, Bldg 2,
Waterbury, CT 06708
Ph: (203) 755-9355 | Michelle Nisenbaum, MD
1320 West Main St, Bldg 2,
Waterbury, CT 06708
Ph: (203) 755-9355 |
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