Ms Mary Alice Poupon, NPP in Newtown, CT - Medicare Nurse Practitioner

Ms Mary Alice Poupon, NPP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Newtown, Connecticut. Her current practice location is 23 Split Rock Rd, Newtown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 364-7000.

Ms Mary Alice Poupon is licensed to practice in Connecticut (license number 002708) 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 1073949509.

Contact Information

	Ms Mary Alice Poupon, NPP
	23 Split Rock Rd, Newtown, CT 06470-2456
	(203) 364-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Mary Alice Poupon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	23 Split Rock Rd, Newtown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073949509
Provider Enumeration Date: 09/16/2013
Last Update Date: 09/16/2013

Medicare PECOS Information:

PECOS PAC ID: 4587946975
Enrollment ID: I20200811000676

Medical Identifiers

Medical identifiers for Ms Mary Alice Poupon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073949509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	002708 (Connecticut)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	7903263 (New York)	Secondary
364SP0807X	Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent	002708 (Connecticut)	Secondary
364SP0807X	Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent	7903263 (New York)	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. Ms Mary Alice Poupon allows following entities to bill medicare on her behalf.

Entity Name	Key Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114393493 PECOS PAC ID: 6204185010 Enrollment ID: O20180827003149

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 Mary Alice Poupon 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
Ms Mary Alice Poupon, NPP 23 Split Rock Rd, Newtown, CT 06470-2456 Ph: (203) 364-7000	Ms Mary Alice Poupon, NPP 23 Split Rock Rd, Newtown, CT 06470-2456 Ph: (203) 364-7000

Reviews and Comments

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Ms Mary Alice Poupon, NPP - Medicare Nurse Practitioner in Newtown, CT