Hillary Decataldo, FNP in Bridgeport, CT - Medicare Nurse Practitioner

Hillary Decataldo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. Her current practice location is 267 Grant St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3000.

Hillary Decataldo is licensed to practice in Connecticut (license number 12648) 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 1699542712.

Contact Information

	Hillary Decataldo, FNP
	267 Grant St, Bridgeport, CT 06610-2870
	(203) 384-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Hillary Decataldo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	267 Grant St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699542712
Provider Enumeration Date: 12/08/2023
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4880047620
Enrollment ID: I20240129002939

Medical Identifiers

Medical identifiers for Hillary Decataldo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699542712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12648 (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. Hillary Decataldo allows following entities to bill medicare on her behalf.

Entity Name	Bridgeport Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425

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. Hillary Decataldo 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
Hillary Decataldo, FNP 27 Elmwood Way, Clinton, CT 06413-1508 Ph: (203) 530-9563	Hillary Decataldo, FNP 267 Grant St, Bridgeport, CT 06610-2870 Ph: (203) 384-3000

Reviews and Comments

Nurse Practitioner Nurses in Bridgeport, CT

Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198

Hillary Decataldo, FNP - Medicare Nurse Practitioner in Bridgeport, CT