Annette Jakubisin-konicki, NP - Medicare Nurse Practitioner in Putnam, CT

  1. Home
  2. Nurse Practitioner
  3. CT
  4. Putnam
Annette Jakubisin-konicki, NP is a medicare enrolled "Nurse Practitioner" in Putnam, Connecticut. Her current practice location is 320 Pomfret St, Putnam, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 963-6390.

Annette Jakubisin-konicki is licensed to practice in Connecticut (license number R38193) 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 1154395549.

Contact Information

Annette Jakubisin-konicki, NP
320 Pomfret St,
Putnam, CT 06260-1836
(860) 963-6390
(860) 963-6343

Map and Direction




Provider's Profile

Full NameAnnette Jakubisin-konicki
GenderFemale
SpecialityNurse Practitioner
Location320 Pomfret St, Putnam, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154395549
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 09/05/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4880595040
  • Enrollment ID: I20040120000380

Medical Identifiers

Medical identifiers for Annette Jakubisin-konicki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154395549NPI-NPPES
500HBE168CT01OtherCTBLUECROSS BLUESHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R38193 (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. Annette Jakubisin-konicki allows following entities to bill medicare on her behalf.
Entity NameDay Kimball Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649243478
PECOS PAC ID: 5092773549
Enrollment ID: O20041229001007
Entity NameDay Kimball Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376813972
PECOS PAC ID: 1557514411
Enrollment ID: O20130102000091

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. Annette Jakubisin-konicki 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
Annette Jakubisin-konicki, NP
320 Pomfret St,
Putnam, CT 06260-1836

Ph: (860) 963-6390		Annette Jakubisin-konicki, NP
320 Pomfret St,
Putnam, CT 06260-1836

Ph: (860) 963-6390

Reviews and Comments


Nurse Practitioner Nurses in Putnam, CT

Sara Cathleen Nickle, DNP, FNP-C, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 330 Pomfret St, Putnam, CT 06260
Phone: 860-928-2736    
Mrs. Jeanne Bedard, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 346 Pomfret St, Putnam, CT 06260
Phone: 860-928-0815    Fax: 860-928-4514
Kimberly J Lane, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 320 Pomfret St, Putnam, CT 06260
Phone: 860-928-6541    Fax: 860-963-6393
Marissa Lahaie, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 330 Pomfret St, Putnam, CT 06260
Phone: 860-928-2736    
Mrs. Kerri Lynn Sauer, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 35 Kennedy Dr, Putnam, CT 06260
Phone: 860-963-2133    
Ralph Frank Hirschfeld, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 202 Pomfret St, Putnam, CT 06260
Phone: 860-963-7917    Fax: 860-963-0015

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.