Michelle Nisenbaum, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Waterbury, Connecticut. 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 |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1639259252
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 09/12/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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