Alyssa Renee Mattison, in Avon, CT - Medicare Nurse Practitioner

Alyssa Renee Mattison, is a medicare enrolled "Nurse Practitioner - Family" in Avon, Connecticut. Her current practice location is 385 W Main St, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 777-1280.

Alyssa Renee Mattison is licensed to practice in Connecticut (license number 12.011734) 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 1417662156.

Contact Information

	Alyssa Renee Mattison,
	385 W Main St, Avon, CT 06001-4357
	(860) 777-1280
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyssa Renee Mattison
Gender	Female
Speciality	Nurse Practitioner - Family
Location	385 W Main St, Avon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417662156
Provider Enumeration Date: 01/17/2023
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4082088638
Enrollment ID: I20230321002629

Medical Identifiers

Medical identifiers for Alyssa Renee Mattison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417662156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12.011734 (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. Alyssa Renee Mattison allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Urgent Care Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464

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. Alyssa Renee Mattison 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
Alyssa Renee Mattison, 1290 Silas Deane Hwy, Hartford Healthcare-cvo, Wethersfield, CT 06109-4337 Ph: () -	Alyssa Renee Mattison, 385 W Main St, Avon, CT 06001-4357 Ph: (860) 777-1280

Reviews and Comments

Nurse Practitioner Nurses in Avon, CT

Sasha Perry, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-284-0182
Deborah L Collins-perrica, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-284-0182 Fax: 860-284-6804
Latonya Sheriee King, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Simsbury Rd Bldg 9, Avon, CT 06001 Phone: 802-565-1755 Fax: 860-650-1920
Courtney Streeto, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-284-0182
Marjorie Arni, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-674-2691 Fax: 860-677-6443
Mr. David Yarbrough, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280
Debra Anne Gage, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001 Phone: 860-674-0088

Alyssa Renee Mattison, - Medicare Nurse Practitioner in Avon, CT