Melissa Bohan-hallenbeck, APRN - Medicare Nurse Practitioner in Willimantic, CT

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Melissa Bohan-hallenbeck, APRN is a medicare enrolled "Nurse Practitioner" in Willimantic, Connecticut. Her current practice location is 112 Mansfield Ave, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 456-6965.

Melissa Bohan-hallenbeck is licensed to practice in Connecticut (license number 5798) 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 1174931687.

Contact Information

Melissa Bohan-hallenbeck, APRN
112 Mansfield Ave,
Willimantic, CT 06226-2045
(860) 456-6965
(860) 456-6969

Map and Direction




Provider's Profile

Full NameMelissa Bohan-hallenbeck
GenderFemale
SpecialityNurse Practitioner
Location112 Mansfield Ave, Willimantic, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174931687
  • Provider Enumeration Date: 07/28/2014
  • Last Update Date: 01/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2567773419
  • Enrollment ID: I20151123000306

Medical Identifiers

Medical identifiers for Melissa Bohan-hallenbeck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174931687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN2311497 (Massachusetts)Secondary
363L00000XNurse Practitioner 5798 (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. Melissa Bohan-hallenbeck allows following entities to bill medicare on her behalf.
Entity NameWindham Community Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231

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. Melissa Bohan-hallenbeck 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
Melissa Bohan-hallenbeck, APRN
5 Charles St,
Putnam, CT 06260-2003

Ph: (860) 420-8150		Melissa Bohan-hallenbeck, APRN
112 Mansfield Ave,
Willimantic, CT 06226-2045

Ph: (860) 456-6965

Reviews and Comments


Nurse Practitioner Nurses in Willimantic, CT

Bethany Joy Kennedy, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-9116    
Patricia S Masopust, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 132 Mansfield Ave, United Services, Willimantic, CT 06226
Phone: 860-456-2261    
Kari A. Davis, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 40 Mansfield Ave, Willimantic, CT 06226
Phone: 860-450-7471    Fax: 860-450-0213
Ariye M Krassner,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 Mansfield Ave, Willimantic, CT 06226
Phone: 860-450-7471    
Dr. Rachell Laureena Farnham, DNP, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 40 Mansfield Ave, Willimantic, CT 06226
Phone: 860-450-7471    
Christine Nilson Mccarthy, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 185 Birch Street, Willimantic, CT 06226
Phone: 860-465-5263    Fax: 860-465-4560

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.