Katherine Miciak, in Middletown, CT - Medicare Nurse Practitioner

Katherine Miciak, is a medicare enrolled "Nurse Practitioner - Family" in Middletown, Connecticut. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 1 Aircraft Rd, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 344-5172.

Katherine Miciak is licensed to practice in Connecticut (license number 8870) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649892274.

Contact Information

	Katherine Miciak,
	1 Aircraft Rd, Middletown, CT 06457-5723
	(860) 344-5172
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Miciak
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1 Aircraft Rd, Middletown, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katherine Miciak graduated from nursing school in 2020

NPI Data:

NPI Number: 1649892274
Provider Enumeration Date: 05/18/2020
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5496170128
Enrollment ID: I20200729000648

Medical Identifiers

Medical identifiers for Katherine Miciak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649892274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8870 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1180

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. Katherine Miciak allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Katherine Miciak 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
Katherine Miciak, 1 Aircraft Rd, Middletown, CT 06457-5723 Ph: () -	Katherine Miciak, 1 Aircraft Rd, Middletown, CT 06457-5723 Ph: (860) 344-5172

Reviews and Comments

Nurse Practitioner Nurses in Middletown, CT

Christina M Barrows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6394 Fax: 860-358-6748
Kendall Elizabeth Cote, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-942-6983
Mr. Ananias Gloria Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 215, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859
Danielle Langer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd Ste 205, Middletown, CT 06457 Phone: 860-346-7738 Fax: 860-347-2097
Mae Joy E. Falk, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Nutmeg Ct, Middletown, CT 06457 Phone: 860-346-4133
Stacey Durr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Middletown, CT 06457 Phone: 860-358-6486
Meredith Campbell, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971

Katherine Miciak, - Medicare Nurse Practitioner in Middletown, CT