Carly Gene Staab, APRN, FNP-BC in Bridgeport, CT

Carly Gene Staab, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Vermont Medical Center Inc and her current practice location is 982 E Main St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (802) 233-1490.

Carly Gene Staab is licensed to practice in Connecticut (license number 5819) 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 1801205463.

Contact Information

	Carly Gene Staab, APRN, FNP-BC
	982 E Main St, Bridgeport, CT 06608-1913
	(802) 233-1490
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Gene Staab
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	982 E Main St, Bridgeport, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carly Gene Staab graduated from nursing school in 2014

NPI Data:

NPI Number: 1801205463
Provider Enumeration Date: 08/07/2014
Last Update Date: 08/07/2014

Medicare PECOS Information:

PECOS PAC ID: 0840411773
Enrollment ID: I20160106001037

Medical Identifiers

Medical identifiers for Carly Gene Staab such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801205463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5819 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Univ. Of Vermont - Fletcher Allen Health Care	Burlington, VT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Vermont Medical Center Inc	3779491071	970

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. Carly Gene Staab allows following entities to bill medicare on her behalf.

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

Entity Name	Northwestern Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720112659 PECOS PAC ID: 5496714313 Enrollment ID: O20041006001249

Entity Name	Northwestern Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538293469 PECOS PAC ID: 5496714313 Enrollment ID: O20081114000535

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. Carly Gene Staab 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
Carly Gene Staab, APRN, FNP-BC 982 E Main St, Bridgeport, CT 06608-1913 Ph: () -	Carly Gene Staab, APRN, FNP-BC 982 E Main St, Bridgeport, CT 06608-1913 Ph: (802) 233-1490

Reviews and Comments

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Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198

Carly Gene Staab, APRN, FNP-BC - Medicare Nurse Practitioner in Bridgeport, CT