Mrs Carly M Odesina, APRN - Medicare Nurse Practitioner in Portland, CT

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Mrs Carly M Odesina, APRN is a medicare enrolled "Nurse Practitioner - Family" in Portland, Connecticut. Her current practice location is 270 Main St, Portland, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 342-3392.

Mrs Carly M Odesina is licensed to practice in Connecticut (license number 12.006642) 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 1548610959.

Contact Information

Mrs Carly M Odesina, APRN
270 Main St,
Portland, CT 06480-1836
(860) 342-3392
(860) 358-8658

Map and Direction




Provider's Profile

Full NameMrs Carly M Odesina
GenderFemale
SpecialityNurse Practitioner - Family
Location270 Main St, Portland, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548610959
  • Provider Enumeration Date: 06/16/2016
  • Last Update Date: 09/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6204122054
  • Enrollment ID: I20160906000669

Medical Identifiers

Medical identifiers for Mrs Carly M Odesina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548610959NPI-NPPES
008067661MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 12.006642 (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. Mrs Carly M Odesina allows following entities to bill medicare on her behalf.
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007
Entity NameHartford Healthcare Urgent Care Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Mrs Carly M Odesina 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
Mrs Carly M Odesina, APRN
28 Crescent St,
Middletown, CT 06457-3654

Ph: (860) 358-4820		Mrs Carly M Odesina, APRN
270 Main St,
Portland, CT 06480-1836

Ph: (860) 342-3392

Reviews and Comments


Nurse Practitioner Nurses in Portland, CT

Morgan Bryant Feshler,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 270 Main St Ste A, Portland, CT 06480
Phone: 860-358-5040    
Mrs. Wendy Griswold, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 270 Main St, Portland, CT 06480
Phone: 860-342-3392    Fax: 860-358-8658
Ms. Wendy Ann Tagan Conroy, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 270 Main St, Portland, CT 06480
Phone: 860-342-3392    Fax: 860-358-8658

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.