Mr John Gethin Brenner, APRN - Medicare Nurse Practitioner in New Haven, CT

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Mr John Gethin Brenner, APRN is a medicare enrolled "Nurse Practitioner - Family" in New Haven, Connecticut. His current practice location is 428 Columbus Ave, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 503-3250.

Mr John Gethin Brenner is licensed to practice in Connecticut (license number 4678) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639372873.

Contact Information

Mr John Gethin Brenner, APRN
428 Columbus Ave,
New Haven, CT 06519-1233
(203) 503-3250
(203) 503-3254

Map and Direction




Provider's Profile

Full NameMr John Gethin Brenner
GenderMale
SpecialityNurse Practitioner - Family
Location428 Columbus Ave, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639372873
  • Provider Enumeration Date: 06/06/2007
  • Last Update Date: 10/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0648449637
  • Enrollment ID: I20110809000067

Medical Identifiers

Medical identifiers for Mr John Gethin Brenner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639372873NPI-NPPES
CSP.0050485OtherCTCONTROL SUBSTANCE-STATE
004235900MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse E52990 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 4678 (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. Mr John Gethin Brenner allows following entities to bill medicare on his behalf.
Entity NameBridgeport Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649260845
PECOS PAC ID: 2062312598
Enrollment ID: O20040120000425

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. Mr John Gethin Brenner 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
Mr John Gethin Brenner, APRN
428 Columbus Ave,
New Haven, CT 06519-1233

Ph: (203) 503-3250		Mr John Gethin Brenner, APRN
428 Columbus Ave,
New Haven, CT 06519-1233

Ph: (203) 503-3250

Reviews and Comments


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Audrey P Senior, APRN
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Phone: 203-688-5860    Fax: 203-688-7533
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Phone: 203-688-7952    
Mrs. Rocca L Perruccio, FNP
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Practice Location: 428 Columbus Ave, New Haven, CT 06519
Phone: 203-503-3000    Fax: 203-503-3224
Alexa Blood, APRN
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Phone: 203-785-2565    
Dr. Shelley Yerger Hawkins, DSN, APRN-BC, FAANP
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Medicare: Not Enrolled in Medicare
Practice Location: 100 Church St S, #271, New Haven, CT 06519
Phone: 205-999-9029    Fax: 203-785-6455

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.