Heidi Bryna Wildstein, APRN MSN is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" in Cheshire, Connecticut. Her current practice location is
422 Highland Ave, Cheshire, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 304-4961.
Heidi Bryna Wildstein is licensed to practice in Connecticut (license number 2442) 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 1750355772.
Provider's Profile
| Full Name | Heidi Bryna Wildstein |
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| Gender | Female |
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| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
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| Location | 422 Highland Ave, Cheshire, 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: 1750355772
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 10/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880779925
- Enrollment ID: I20080313000028
Medical Identifiers
Medical identifiers for Heidi Bryna Wildstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750355772 | NPI | - | NPPES |
| 004218740 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 002442 (Connecticut) | Secondary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 2442 (Connecticut) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 2442 (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. Heidi Bryna Wildstein allows following entities to bill medicare on her behalf.
| Entity Name | Yale University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015 |
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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. Heidi Bryna Wildstein 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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Heidi Bryna Wildstein, APRN MSN
Po Box 9805, 300 George St, 6th Floor,
New Haven, CT 06536-0805
Ph: (203) 785-7998 | Heidi Bryna Wildstein, APRN MSN
422 Highland Ave,
Cheshire, CT 06410-2526
Ph: (203) 304-4961 |
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