Mrs Mariamu Tshilenge, in Stratford, CT - Medicare Nurse Practitioner

Mrs Mariamu Tshilenge, is a medicare enrolled "Nurse Practitioner - Family" in Stratford, Connecticut. Her current practice location is 1650 James Farm Rd, Stratford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 571-2206.

Mrs Mariamu Tshilenge is licensed to practice in Connecticut (license number 2022000507) 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 1922739671.

Contact Information

	Mrs Mariamu Tshilenge,
	1650 James Farm Rd, Stratford, CT 06614-8913
	(203) 571-2206
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mariamu Tshilenge
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1650 James Farm Rd, Stratford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922739671
Provider Enumeration Date: 06/23/2022
Last Update Date: 06/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1658757471
Enrollment ID: I20221003001012

Medical Identifiers

Medical identifiers for Mrs Mariamu Tshilenge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922739671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022000507 (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 Mariamu Tshilenge allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

Entity Name	Proactive Health Care Management,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811641145 PECOS PAC ID: 8022497874 Enrollment ID: O20220624000766

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 Mariamu Tshilenge 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 Mariamu Tshilenge, 1650 James Farm Rd, Stratford, CT 06614-8913 Ph: (203) 571-2206	Mrs Mariamu Tshilenge, 1650 James Farm Rd, Stratford, CT 06614-8913 Ph: (203) 571-2206

Reviews and Comments

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Mrs Mariamu Tshilenge, - Medicare Nurse Practitioner in Stratford, CT