Mrs Lissy Davis Poulose, APRN in Monroe, CT - Medicare Nurse Practitioner

Mrs Lissy Davis Poulose, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Monroe, Connecticut. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hdc Care Solutions Llc and her current practice location is 324 Elm St, Ste 202b, Monroe, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 880-5335.

Mrs Lissy Davis Poulose is licensed to practice in Connecticut (license number 003902) 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 1790937670.

Contact Information

	Mrs Lissy Davis Poulose, APRN
	324 Elm St, Ste 202b, Monroe, CT 06468-2284
	(203) 880-5335
	(203) 907-1234

Map and Direction

Provider's Profile

Full Name	Mrs Lissy Davis Poulose
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	324 Elm St, Monroe, Connecticut
Accepts Medicare Assignments	Yes. 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 Lissy Davis Poulose graduated from nursing school in 2008

NPI Data:

NPI Number: 1790937670
Provider Enumeration Date: 10/22/2008
Last Update Date: 01/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3072674274
Enrollment ID: I20081205000706

Medical Identifiers

Medical identifiers for Mrs Lissy Davis Poulose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790937670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	003902 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hdc Care Solutions Llc	0345634770	144

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 Lissy Davis Poulose allows following entities to bill medicare on her behalf.

Entity Name	Practitioner Support Services Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114115706 PECOS PAC ID: 3375596984 Enrollment ID: O20050223000656

Entity Name	Hdc Care Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033861349 PECOS PAC ID: 0345634770 Enrollment ID: O20220315001878

Entity Name	Careconnectmd Connecticut P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467187336 PECOS PAC ID: 4486037975 Enrollment ID: O20220816002266

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 Lissy Davis Poulose 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 Lissy Davis Poulose, APRN 324 Elm St, Ste 202b, Monroe, CT 06468-2284 Ph: (203) 880-5335	Mrs Lissy Davis Poulose, APRN 324 Elm St, Ste 202b, Monroe, CT 06468-2284 Ph: (203) 880-5335

Reviews and Comments

Nurse Practitioner Nurses in Monroe, CT

Dr. Suzanna Smaldone, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Monroe Tpke, Monroe, CT 06468 Phone: 203-268-2501 Fax: 203-268-2540
Mrs. Trinitas Binan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 Elm St Ste 202b, Monroe, CT 06468 Phone: 203-880-5335
Gina M Reitmeyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Monroe Tpke, Canterbury Pediatrics, Monroe, CT 06468 Phone: 203-452-1063 Fax: 203-445-8926
Maureen Diane Cook, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 Main St Ste 122, Monroe, CT 06468 Phone: 203-261-7090
Catherine Champagne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 Elm St, Suite 202b, Monroe, CT 06468 Phone: 203-567-0306
Dorothy Vivian Esposito, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 Elm St, Monroe, CT 06468 Phone: 203-880-5335
Brittany Provenzano, RN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1318 Monroe Tpke, Monroe, CT 06468 Phone: 203-650-3168 Fax: 203-650-3168

Mrs Lissy Davis Poulose, APRN - Medicare Nurse Practitioner in Monroe, CT