Dr Nicole J Phillips, DNP - Medicare Nurse Practitioner in Bridgeport, CT

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Dr Nicole J Phillips, DNP is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. Her current practice location is 2091 Fairfield Ave Ste 1, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 572-7491.

Dr Nicole J Phillips is licensed to practice in Connecticut (license number 5749) 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 1649684036.

Contact Information

Dr Nicole J Phillips, DNP
2091 Fairfield Ave Ste 1,
Bridgeport, CT 06605-2246
(203) 572-7491
Not Available

Map and Direction




Provider's Profile

Full NameDr Nicole J Phillips
GenderFemale
SpecialityNurse Practitioner - Family
Location2091 Fairfield Ave Ste 1, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649684036
  • Provider Enumeration Date: 06/13/2014
  • Last Update Date: 07/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951528520
  • Enrollment ID: I20140806000894

Medical Identifiers

Medical identifiers for Dr Nicole J Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649684036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5749 (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. Dr Nicole J Phillips allows following entities to bill medicare on her behalf.
Entity NamePlanned Parenthood Of Southern New England Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174633143
PECOS PAC ID: 3173436730
Enrollment ID: O20031110000416

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. Dr Nicole J Phillips 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
Dr Nicole J Phillips, DNP
2091 Fairfield Ave,
Bridgeport, CT 06605-2246

Ph: (203) 572-7491		Dr Nicole J Phillips, DNP
2091 Fairfield Ave Ste 1,
Bridgeport, CT 06605-2246

Ph: (203) 572-7491

Reviews and Comments


Nurse Practitioner Nurses in Bridgeport, CT

Ryan Keenan, PMHNP
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Patricia Anne Simpson, APRN
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Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-368-3000    
Dr. Samantha Mraz, DNP
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Esther M Mervil, APRN
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Practice Location: 471 Barnum Ave, Bridgeport, CT 06608
Phone: 203-333-6864    Fax: 203-332-0376
Asena Derohannesian,
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Medicare: Medicare Enrolled
Practice Location: 425 Thorme St, Bridgeport, CT 06606
Phone: 203-275-4115    Fax: 203-275-0198

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.