Jaimee Taylor Dizenzo, in Southington, CT - Medicare Nurse Practitioner

Jaimee Taylor Dizenzo, is a medicare enrolled "Nurse Practitioner - Family" in Southington, Connecticut. Her current practice location is 249 Spring Lake Rd, Southington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 681-1646.

Jaimee Taylor Dizenzo is licensed to practice in Connecticut (license number 12251) 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 1942983960.

Contact Information

	Jaimee Taylor Dizenzo,
	249 Spring Lake Rd, Southington, CT 06489-4426
	(860) 681-1646
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaimee Taylor Dizenzo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	249 Spring Lake Rd, Southington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942983960
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9537513486
Enrollment ID: I20230926001659

Medical Identifiers

Medical identifiers for Jaimee Taylor Dizenzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942983960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12251 (Connecticut)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jaimee Taylor Dizenzo allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

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. Jaimee Taylor Dizenzo 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
Jaimee Taylor Dizenzo, 249 Spring Lake Rd, Southington, CT 06489-4426 Ph: (860) 681-1646	Jaimee Taylor Dizenzo, 249 Spring Lake Rd, Southington, CT 06489-4426 Ph: (860) 681-1646

Reviews and Comments

Nurse Practitioner Nurses in Southington, CT

Miss Julia Salzberg, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 71 Alder Ln, Southington, CT 06489 Phone: 860-681-3419
Anna Liza Abastillas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 14 N Main St, Southington, CT 06489 Phone: 860-621-6759 Fax: 860-621-0117
Lauren Madigan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 941 Queen St, Southington, CT 06489 Phone: 860-655-5106
Kimberly Burns, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1187 Queen St, Southington, CT 06489 Phone: 860-259-4282
Colleen Mary Peruta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Meriden Waterbury Tpke, Southington, CT 06489 Phone: 860-621-2673
Mrs. Morgan Mcdermott, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 81 Meriden Ave, Southington, CT 06489 Phone: 860-276-5208
Rachel L Booth, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Meriden Ave, Southington, CT 06489 Phone: 860-378-1400 Fax: 860-378-1419

Jaimee Taylor Dizenzo, - Medicare Nurse Practitioner in Southington, CT