Gabriela R Self, PMHNP in Hartford, CT - Medicare Nurse Practitioner

Gabriela R Self, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hartford, Connecticut. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Connecticut Mental Health Specialists Inc, Hartford Hospital and her current practice location is 200 Retreat Ave, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-7000.

Gabriela R Self is licensed to practice in Connecticut (license number 12.010442) 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 1801556550.

Contact Information

	Gabriela R Self, PMHNP
	200 Retreat Ave, Hartford, CT 06102-3101
	(860) 545-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Gabriela R Self
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	200 Retreat Ave, Hartford, 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:

Gabriela R Self graduated from nursing school in 2021

NPI Data:

NPI Number: 1801556550
Provider Enumeration Date: 12/22/2021
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 1355736794
Enrollment ID: I20220321002265

Medical Identifiers

Medical identifiers for Gabriela R Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801556550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	12.010442 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Connecticut Mental Health Specialists Inc	0345130563	52
Hartford Hospital	2567366016	841

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. Gabriela R Self allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	Connecticut Mental Health Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053362814 PECOS PAC ID: 0345130563 Enrollment ID: O20040319000165

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. Gabriela R Self 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
Gabriela R Self, PMHNP 200 Retreat Ave, Hartford, CT 06102-3101 Ph: (860) 545-7000	Gabriela R Self, PMHNP 200 Retreat Ave, Hartford, CT 06102-3101 Ph: (860) 545-7000

Reviews and Comments

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Gabriela R Self, PMHNP - Medicare Nurse Practitioner in Hartford, CT