Kristin D Mehta, AGPCNP is a medicare enrolled "Nurse Practitioner" in New Canaan, Connecticut. Her current practice location is
208 Valley Rd, New Canaan, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(866) 542-4455.
Kristin D Mehta is licensed to practice in Connecticut (license number 8730) 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 1760916761.
Provider's Profile
| Full Name | Kristin D Mehta |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 208 Valley Rd, New Canaan, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760916761
- Provider Enumeration Date: 04/17/2017
- Last Update Date: 08/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214204635
- Enrollment ID: I20201223002049
Medical Identifiers
Medical identifiers for Kristin D Mehta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760916761 | NPI | - | NPPES |
| 1760916761 | Medicaid | WI | |
| K400387628 | Other | WI | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 7564 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 8730 (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. Kristin D Mehta allows following entities to bill medicare on her behalf.
| Entity Name | Silver Hill Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982658035
PECOS PAC ID: 8628039393
Enrollment ID: O20041026000195 |
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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. Kristin D Mehta 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 |
|---|
Kristin D Mehta, AGPCNP
208 Valley Rd,
New Canaan, CT 06840-3812
Ph: (866) 542-4455 | Kristin D Mehta, AGPCNP
208 Valley Rd,
New Canaan, CT 06840-3812
Ph: (866) 542-4455 |
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