David Misiaszek, NP is a medicare enrolled "Nurse Practitioner - Family" in Gilman, Connecticut. His current practice location is
480 Fitchville Rd, Gilman, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 961-4923.
David Misiaszek is licensed to practice in Connecticut (license number 11670) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336847003.
Provider's Profile
| Full Name | David Misiaszek |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 480 Fitchville Rd, Gilman, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336847003
- Provider Enumeration Date: 02/21/2023
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759746530
- Enrollment ID: I20230501000557
Medical Identifiers
Medical identifiers for David Misiaszek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336847003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | E55459 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11670 (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. David Misiaszek allows following entities to bill medicare on his behalf.
| Entity Name | Hdc Care Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033861349
PECOS PAC ID: 0345634770
Enrollment ID: O20220315001878 |
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| Entity Name | Careconnectmd Connecticut P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467187336
PECOS PAC ID: 4486037975
Enrollment ID: O20220816002266 |
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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. David Misiaszek 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 |
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David Misiaszek, NP
480 Fitchville Rd,
Gilman, CT 06336-1000
Ph: (860) 961-4923 | David Misiaszek, NP
480 Fitchville Rd,
Gilman, CT 06336-1000
Ph: (860) 961-4923 |
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