Kettly Cassamajor, - Medicare Nurse Practitioner in Bridgeport, CT

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Kettly Cassamajor, is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. She graduated from nursing school in 2016 and has 8 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 4920 Main St Ste 302, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 210-4960.

Kettly Cassamajor is licensed to practice in Connecticut (license number 12.006973) 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 1235660267.

Contact Information

Kettly Cassamajor,
4920 Main St Ste 302,
Bridgeport, CT 06606-1300
(475) 210-4960
(203) 371-0542

Map and Direction




Provider's Profile

Full NameKettly Cassamajor
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location4920 Main St Ste 302, Bridgeport, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kettly Cassamajor graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1235660267
  • Provider Enumeration Date: 03/22/2017
  • Last Update Date: 03/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638455827
  • Enrollment ID: I20170425001440

Medical Identifiers

Medical identifiers for Kettly Cassamajor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235660267NPI-NPPES
004234788MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 12.006973 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Specialists Pllc31738662411180

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. Kettly Cassamajor allows following entities to bill medicare on her behalf.
Entity NameOptimus Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669445946
PECOS PAC ID: 9335051580
Enrollment ID: O20031105000254
Entity NameJack V. Diteodoro M.d,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700194636
PECOS PAC ID: 8729247077
Enrollment ID: O20120307000020
Entity NameStella Medical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255851481
PECOS PAC ID: 2769738566
Enrollment ID: O20180710000903
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Kettly Cassamajor 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
Kettly Cassamajor,
1290 Silas Deane Hwy, Hartford Healthcare-cvo,
Wethersfield, CT 06109-4337

Ph: () -		Kettly Cassamajor,
4920 Main St Ste 302,
Bridgeport, CT 06606-1300

Ph: (475) 210-4960

Reviews and Comments


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Phone: 203-275-4115    Fax: 203-275-0198

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.