Miss Mary Elizabeth Schustek, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Wallingford, Connecticut. Her current practice location is
67 Masonic Ave, Suite 3100, Wallingford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 284-3144.
Miss Mary Elizabeth Schustek is licensed to practice in Connecticut (license number 006357) 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 1891705307.
Physician's Profile
| Full Name | Miss Mary Elizabeth Schustek |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 67 Masonic Ave, Wallingford, Connecticut |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1891705307
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 08/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 3274558275
- Enrollment ID: I20160112002156
Medical Identifiers
Medical identifiers for Miss Mary Elizabeth Schustek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891705307 | NPI | - | NPPES |
| NP0948 | Medicaid | SC | |
| Q42721179 | Other | | CHAMPUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 2742 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN2742 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 006357 (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. Miss Mary Elizabeth Schustek allows following entities to bill medicare on her behalf.
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007 |
|---|
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. Miss Mary Elizabeth Schustek 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 |
|---|
Miss Mary Elizabeth Schustek, APRN
67 Masonic Ave, Suite 3100,
Wallingford, CT 06492-3095
Ph: (203) 284-3144 | Miss Mary Elizabeth Schustek, APRN
67 Masonic Ave, Suite 3100,
Wallingford, CT 06492-3095
Ph: (203) 284-3144 |
Reviews and Comments