Ms Lee Siuzdak, APRN - Medicare Nurse Practitioner in Bridgeport, CT

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Ms Lee Siuzdak, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bridgeport, Connecticut. Her current practice location is 1106 North Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 225-8010.

Ms Lee Siuzdak is licensed to practice in Connecticut (license number 004587) 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 1124323878.

Contact Information

Ms Lee Siuzdak, APRN
1106 North Ave,
Bridgeport, CT 06604
(475) 225-8010
Not Available

Map and Direction




Provider's Profile

Full NameMs Lee Siuzdak
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1106 North Ave, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124323878
  • Provider Enumeration Date: 01/11/2011
  • Last Update Date: 06/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486976149
  • Enrollment ID: I20141208001498

Medical Identifiers

Medical identifiers for Ms Lee Siuzdak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124323878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 004587 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 004587 (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. Ms Lee Siuzdak allows following entities to bill medicare on her behalf.
Entity NameBhcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306042700
PECOS PAC ID: 5193819308
Enrollment ID: O20070919000431
Entity NameHarvest Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477712917
PECOS PAC ID: 9931276979
Enrollment ID: O20080917000499
Entity NameThe Connection Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700934296
PECOS PAC ID: 7719025915
Enrollment ID: O20091109000501

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. Ms Lee Siuzdak 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 AddressPractice Location Address
Ms Lee Siuzdak, APRN
703 Third Ave,
West Haven, CT 06516

Ph: () -		Ms Lee Siuzdak, APRN
1106 North Ave,
Bridgeport, CT 06604

Ph: (475) 225-8010

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.