Katelyn Madeline Wirtz, - Medicare Nurse Practitioner in West Haven, CT

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Katelyn Madeline Wirtz, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Haven, Connecticut. Her current practice location is 285 Main St, West Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 503-3000.

Katelyn Madeline Wirtz is licensed to practice in Connecticut (license number 9910) 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 1083282891.

Contact Information

Katelyn Madeline Wirtz,
285 Main St,
West Haven, CT 06516-7307
(203) 503-3000
Not Available

Map and Direction




Provider's Profile

Full NameKatelyn Madeline Wirtz
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location285 Main St, West Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083282891
  • Provider Enumeration Date: 06/16/2021
  • Last Update Date: 09/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759788789
  • Enrollment ID: I20210917001928

Medical Identifiers

Medical identifiers for Katelyn Madeline Wirtz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083282891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 9910 (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. Katelyn Madeline Wirtz allows following entities to bill medicare on her behalf.
Entity NameCornell Scott Hill Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902921380
PECOS PAC ID: 3072418359
Enrollment ID: O20031201000145

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. Katelyn Madeline Wirtz 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 AddressPractice Location Address
Katelyn Madeline Wirtz,
400 Columbus Avenue, Credentialing Specialist,
New Haven, CT 06519-1233

Ph: (203) 503-3174		Katelyn Madeline Wirtz,
285 Main St,
West Haven, CT 06516-7307

Ph: (203) 503-3000

Reviews and Comments


Nurse Practitioner Nurses in West Haven, CT

Ms. Michele V Coral, APRN,CS
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Practice Location: 950 Campbell Ave # 116-a, West Haven, CT 06516
Phone: 203-932-5711    
Susan Marchitto, PNP-BC
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Practice Location: 6 Cove Brook Rd, West Haven, CT 06516
Phone: 203-641-0765    
Allison Marie Altenburger, APRN, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516
Phone: 203-932-6481    Fax: 203-932-4051
Christine B Paranal, APRN
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Practice Location: 150 Arlington St, West Haven, CT 06516
Phone: 203-934-2691    
Olutoyin Adesola, APRN
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Practice Location: 687 Campbell Ave, West Haven, CT 06516
Phone: 203-932-6481    
Ms. Clarice Elizabeth Grens, APRN
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Medicare: Medicare Enrolled
Practice Location: 950 Campbell Ave, West Haven, CT 06516
Phone: 203-932-5711    
Tracie Nalley, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 687 Campbell Ave, West Haven, CT 06516
Phone: 203-932-6481    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.