Misty Delciampo, PMHNP-BC in Bristol, CT - Medicare Nurse Practitioner

Misty Delciampo, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bristol, Connecticut. Her current practice location is 225 N Main St, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (888) 793-3500.

Misty Delciampo is licensed to practice in Connecticut (license number 9677) 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 1528725892.

Contact Information

	Misty Delciampo, PMHNP-BC
	225 N Main St, Bristol, CT 06010-4926
	(888) 793-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Misty Delciampo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	225 N Main St, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528725892
Provider Enumeration Date: 11/22/2021
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8022409168
Enrollment ID: I20211227000945

Medical Identifiers

Medical identifiers for Misty Delciampo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528725892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9677 (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. Misty Delciampo allows following entities to bill medicare on her behalf.

Entity Name	Wheeler Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218

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. Misty Delciampo 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
Misty Delciampo, PMHNP-BC 42 Arbutus St, East Hartford, CT 06108-2901 Ph: (860) 933-4850	Misty Delciampo, PMHNP-BC 225 N Main St, Bristol, CT 06010-4926 Ph: (888) 793-3500

Reviews and Comments

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Misty Delciampo, PMHNP-BC - Medicare Nurse Practitioner in Bristol, CT