Mrs Erin Kathleen Bamback, FNP in Vernon, CT - Medicare Nurse Practitioner

Mrs Erin Kathleen Bamback, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vernon, Connecticut. Her current practice location is 30 Lafayette Sq Ste 109, Vernon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 454-0303.

Mrs Erin Kathleen Bamback is licensed to practice in Connecticut (license number 12298) 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 1528834983.

Contact Information

	Mrs Erin Kathleen Bamback, FNP
	30 Lafayette Sq Ste 109, Vernon, CT 06066-4554
	(860) 454-0303
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Erin Kathleen Bamback
Gender	Female
Speciality	Nurse Practitioner - Family
Location	30 Lafayette Sq Ste 109, Vernon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528834983
Provider Enumeration Date: 11/28/2023
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2365895950
Enrollment ID: I20240131000579

Medical Identifiers

Medical identifiers for Mrs Erin Kathleen Bamback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528834983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	135987 (Connecticut)	Secondary
163W00000X	Registered Nurse	722804 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	352692 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	12298 (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. Mrs Erin Kathleen Bamback allows following entities to bill medicare on her behalf.

Entity Name	Prime Healthcare, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411

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 Erin Kathleen Bamback 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
Mrs Erin Kathleen Bamback, FNP 36 Mamanasco Rd, Ridgefield, CT 06877-2425 Ph: (203) 837-0677	Mrs Erin Kathleen Bamback, FNP 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 Ph: (860) 454-0303

Reviews and Comments

Nurse Practitioner Nurses in Vernon, CT

Jude Hall, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Hyde Ave Ste 109, Vernon, CT 06066 Phone: 860-454-0303 Fax: 860-875-4242
Kellie Angela Ford, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Talcottville Road, Suite 6, Vernon, CT 06066 Phone: 860-870-6385 Fax: 860-870-0625
Lauren Speringo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 281 Hartford Tpke, Vernon, CT 06066 Phone: 860-970-6264
Erin Perry, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 179 Talcottville Rd, Vernon, CT 06066 Phone: 860-986-7600
Ms. Irina Bratan, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Talcottvile Road, Vernon, CT 06066 Phone: 860-787-5774
Jennifer Maria Sousa Jerome, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 281 Hartford Tpke Ste 106, Vernon, CT 06066 Phone: 860-375-2227 Fax: 860-603-5080
Mrs. Amy Lynn Lombardo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Hyde Ave Ste 109, Vernon, CT 06066 Phone: 860-454-0303 Fax: 860-875-4242

Mrs Erin Kathleen Bamback, FNP - Medicare Nurse Practitioner in Vernon, CT