Clarisse Fairbanks, APRN - Medicare Clinical Nurse Specialist in West Hartford, CT

  1. Home
  2. Clinical Nurse Specialist
  3. CT
  4. West Hartford
Clarisse Fairbanks, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in West Hartford, Connecticut. Her current practice location is 18 Juniper Ln, West Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 414-4787.

Clarisse Fairbanks is licensed to practice in Connecticut (license number 003066) 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 1538105135.

Contact Information

Clarisse Fairbanks, APRN
18 Juniper Ln,
West Hartford, CT 06117-1126
(860) 414-4787
Not Available

Map and Direction




Provider's Profile

Full NameClarisse Fairbanks
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location18 Juniper Ln, West Hartford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538105135
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 06/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092773739
  • Enrollment ID: I20041228000363

Medical Identifiers

Medical identifiers for Clarisse Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538105135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 003066 (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. Clarisse Fairbanks allows following entities to bill medicare on her behalf.
Entity NameConnecticut Mental Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053362814
PECOS PAC ID: 0345130563
Enrollment ID: O20040319000165
Entity NameImpact Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730694316
PECOS PAC ID: 0941562664
Enrollment ID: O20180316001315
Entity NameImpact Health Psych Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730781022
PECOS PAC ID: 6204248149
Enrollment ID: O20201217000105

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. Clarisse Fairbanks 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
Clarisse Fairbanks, APRN
18 Juniper Ln,
West Hartford, CT 06117-1126

Ph: (860) 414-4787		Clarisse Fairbanks, APRN
18 Juniper Ln,
West Hartford, CT 06117-1126

Ph: (860) 414-4787

Reviews and Comments


Clinical Nurse Specialist Nurses in West Hartford, CT

Mrs. Jacqueline Kay Cantor, APRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 805 Farmington Ave, 2nd Fl., West Hartford, CT 06119
Phone: 860-508-0942    
Susan Hope, APRN
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 345 N Main St, Suite 305, West Hartford, CT 06117
Phone: 860-231-9759    Fax: 860-231-9679
Dr. Lisabeth Emerson Johnston, PHD APRN
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 361 Park Road, West Hartford, CT 06119
Phone: 860-523-1101    Fax: 860-233-4305
Ms. Annmarie Bernier, APRN
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 19 Nursery Dr, West Hartford, CT 06117
Phone: 860-231-8806    
Ms. Mary F Scully, APRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Shadow Ln, West Hartford, CT 06110
Phone: 860-561-3345    
Mr. Christopher John Kochis, APRN
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 998 Farmington Ave, Suite 123, West Hartford, CT 06107
Phone: 860-989-5055    Fax: 860-586-8976

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.