Kelly Fosnocht, APRN in Hartford, CT - Medicare Nurse Practitioner

Kelly Fosnocht, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. Her current practice location is 76 New Britain Avenue, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 547-0970.

Kelly Fosnocht is licensed to practice in Connecticut (license number 8308) 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 1821513052.

Contact Information

	Kelly Fosnocht, APRN
	76 New Britain Avenue, Hartford, CT 06106-3305
	(860) 547-0970
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Fosnocht
Gender	Female
Speciality	Nurse Practitioner - Family
Location	76 New Britain Avenue, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821513052
Provider Enumeration Date: 08/09/2017
Last Update Date: 04/07/2021

Medicare PECOS Information:

PECOS PAC ID: 5799015426
Enrollment ID: I20240521001800

Medical Identifiers

Medical identifiers for Kelly Fosnocht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821513052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2312879 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	8308 (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. Kelly Fosnocht allows following entities to bill medicare on her behalf.

Entity Name	Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412

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. Kelly Fosnocht 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
Kelly Fosnocht, APRN 76 New Britain Avenue, Hartford, CT 06106-3305 Ph: (860) 547-0970	Kelly Fosnocht, APRN 76 New Britain Avenue, Hartford, CT 06106-3305 Ph: (860) 547-0970

Reviews and Comments

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Kelly Fosnocht, APRN - Medicare Nurse Practitioner in Hartford, CT