Mrs Therese Marie Donnelly, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Madison, Connecticut. She graduated from nursing school in 1988 and has 36 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Yale University and her current practice location is
76 Genesee Lane, Madison, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 421-4807.
Mrs Therese Marie Donnelly is licensed to practice in Connecticut (license number R39565) 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 1821166943.
Provider's Profile
Full Name | Mrs Therese Marie Donnelly |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 36 Years |
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Location | 76 Genesee Lane, Madison, Connecticut |
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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 Therese Marie Donnelly graduated from nursing school in 1988
NPI Data:
- NPI Number: 1821166943
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032214549
- Enrollment ID: I20091203000396
Medical Identifiers
Medical identifiers for Mrs Therese Marie Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821166943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R39565 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Yale University | 9436061736 | 2238 |
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 Therese Marie Donnelly allows following entities to bill medicare on her behalf.
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
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Entity Name | Bridgeport Anesthesia Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174549257 PECOS PAC ID: 7113824616 Enrollment ID: O20031215000038 |
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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 Therese Marie Donnelly 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 Therese Marie Donnelly, 76 Genesee Lane, Madison, CT 06443 Ph: (203) 421-4807 | Mrs Therese Marie Donnelly, 76 Genesee Lane, Madison, CT 06443 Ph: (203) 421-4807 |
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