Mrs Mirlene Polycarpe, FNP, DNP in Middletown, CT

Mrs Mirlene Polycarpe, FNP, DNP is a medicare enrolled "Nurse Practitioner - Family" in Middletown, Connecticut. Her current practice location is 50 Eastbury Hill Dr, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 834-0479.

Mrs Mirlene Polycarpe is licensed to practice in Connecticut (license number 9761) 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 1821667452.

Contact Information

	Mrs Mirlene Polycarpe, FNP, DNP
	50 Eastbury Hill Dr, Middletown, CT 06457-8755
	(860) 834-0479
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mirlene Polycarpe
Gender	Female
Speciality	Nurse Practitioner - Family
Location	50 Eastbury Hill Dr, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821667452
Provider Enumeration Date: 06/18/2021
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 5294192852
Enrollment ID: I20230613002052

Medical Identifiers

Medical identifiers for Mrs Mirlene Polycarpe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821667452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9761 (Connecticut)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Mirlene Polycarpe allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	The William W Backus Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739

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 Mirlene Polycarpe 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 Mirlene Polycarpe, FNP, DNP 85 Retreat Avenue, Hhcmg/cancer Center/hartford Hospital, Hartford, CT 06106-2555 Ph: (860) 972-4183	Mrs Mirlene Polycarpe, FNP, DNP 50 Eastbury Hill Dr, Middletown, CT 06457-8755 Ph: (860) 834-0479

Reviews and Comments

Nurse Practitioner Nurses in Middletown, CT

Christina M Barrows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6394 Fax: 860-358-6748
Kendall Elizabeth Cote, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-942-6983
Mr. Ananias Gloria Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 215, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859
Danielle Langer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd Ste 205, Middletown, CT 06457 Phone: 860-346-7738 Fax: 860-347-2097
Mae Joy E. Falk, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Nutmeg Ct, Middletown, CT 06457 Phone: 860-346-4133
Stacey Durr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Middletown, CT 06457 Phone: 860-358-6486
Meredith Campbell, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971

Mrs Mirlene Polycarpe, FNP, DNP - Medicare Nurse Practitioner in Middletown, CT