Mrs Carly Marie Wholley, APRN - Medicare Nurse Practitioner in Bronxville, NY

Mrs Carly Marie Wholley, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bronxville, New York. She went to University Of Connecticut School Of Medicine and graduated in 2014 and has 10 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 1 Garrett Pl, Apt 4h, Bronxville, New York. You can reach out to her office (for appointments etc.) via phone at (860) 302-8816.

Mrs Carly Marie Wholley is licensed to practice in Connecticut (license number 6181) 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 1063860872.

Contact Information

Mrs Carly Marie Wholley, APRN
1 Garrett Pl, Apt 4h,
Bronxville, NY 10708
(860) 302-8816
Not Available

Map and Direction




Provider's Profile

Full NameMrs Carly Marie Wholley
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1 Garrett Pl, Bronxville, New York
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:
  • Mrs Carly Marie Wholley attended and graduated from University Of Connecticut School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1063860872
  • Provider Enumeration Date: 06/02/2016
  • Last Update Date: 07/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820383268
  • Enrollment ID: I20180223000420

Medical Identifiers

Medical identifiers for Mrs Carly Marie Wholley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063860872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6181 (Connecticut)Primary
363LF0000XNurse Practitioner - Family F339574-1 (New York)Secondary

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. Mrs Carly Marie Wholley allows following entities to bill medicare on her behalf.
Entity NamePractitioner Support Services Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114115706
PECOS PAC ID: 3375596984
Enrollment ID: O20050223000656
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. Mrs Carly Marie Wholley 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
Mrs Carly Marie Wholley, APRN
330 Western Blvd,
Glastonbury, CT 06033-4383

Ph: (860) 246-2071
Mrs Carly Marie Wholley, APRN
1 Garrett Pl, Apt 4h,
Bronxville, NY 10708

Ph: (860) 302-8816

Reviews and Comments


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Mrs. Kathryn Ann Pisseri,
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Medicare: Medicare Enrolled
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Phone: 914-787-5000    

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.