Gifty John, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfield, Connecticut. Her current practice location is
146 Flushing Ave, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(516) 425-0915.
Gifty John is licensed to practice in Connecticut (license number 137467) 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 1225601677.
Provider's Profile
Full Name | Gifty John |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 146 Flushing Ave, Fairfield, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225601677
- Provider Enumeration Date: 07/22/2021
- Last Update Date: 06/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729454657
- Enrollment ID: I20221018003173
Medical Identifiers
Medical identifiers for Gifty John such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225601677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 590249 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 137467 (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. Gifty John allows following entities to bill medicare on her behalf.
Entity Name | North American Partners In Anesthesia Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316994775 PECOS PAC ID: 6709877939 Enrollment ID: O20040519000120 |
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Entity Name | Amsurg Stamford Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942622378 PECOS PAC ID: 6305066341 Enrollment ID: O20140925001497 |
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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. Gifty John 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 |
Gifty John, 146 Flushing Ave, Fairfield, CT 06825-1450 Ph: (516) 425-0915 | Gifty John, 146 Flushing Ave, Fairfield, CT 06825-1450 Ph: (516) 425-0915 |
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