Veronica R Plasencia, MD - Medicare Family Practice in Fairfield, CT

Veronica R Plasencia, MD is a medicare enrolled "Family Medicine" physician in Fairfield, Connecticut. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 325 Reef Rd, Room 203, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 255-0215.

Veronica R Plasencia is licensed to practice in Connecticut (license number 051971) 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 1053571216.

Contact Information

Veronica R Plasencia, MD
325 Reef Rd, Room 203,
Fairfield, CT 06824-6537
(203) 255-0215
Not Available

Map and Direction




Physician's Profile

Full NameVeronica R Plasencia
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location325 Reef Rd, Fairfield, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Veronica R Plasencia graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1053571216
  • Provider Enumeration Date: 06/11/2008
  • Last Update Date: 01/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0941478655
  • Enrollment ID: I20131212000895

Medical Identifiers

Medical identifiers for Veronica R Plasencia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053571216NPI-NPPES
1053571216MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 051971 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Specialists Pllc31738662411180

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. Veronica R Plasencia allows following entities to bill medicare on her behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Veronica R Plasencia 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 AddressPractice Location Address
Veronica R Plasencia, MD
325 Reef Rd, Room 203,
Fairfield, CT 06824-6537

Ph: (203) 255-0215
Veronica R Plasencia, MD
325 Reef Rd, Room 203,
Fairfield, CT 06824-6537

Ph: (203) 255-0215

Reviews and Comments


Family Medicine Doctors in Fairfield, CT

Kellie Watkins-colwell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824
Phone: 203-255-0215    Fax: 203-255-0046
Dina Elnaggar, MD, MS
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825
Phone: 203-382-5556    
Dr. Leslie Robin Miller, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 52 Beach Rd, Ste 102, Fairfield, CT 06824
Phone: 203-256-9905    Fax: 203-254-9848
Dr. Larry E. Novik, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 325 Reef Rd, Suite 203, Fairfield, CT 06824
Phone: 203-255-0215    Fax: 203-255-0046
Kristofer Nathaniel Tupper, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825
Phone: 203-337-2600    Fax: 203-337-2611
Garry Boxer,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1055 Post Rd, Fairfield, CT 06824
Phone: 203-371-4895    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.