Rebecca L Brady, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in West Suffield, Connecticut. Her current practice location is
49 Woods Hollow Rd, West Suffield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 983-0580.
Rebecca L Brady is licensed to practice in Connecticut (license number 004231) 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 1659609584.
Provider's Profile
| Full Name | Rebecca L Brady |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 49 Woods Hollow Rd, West Suffield, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659609584
- Provider Enumeration Date: 12/04/2009
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012301559
- Enrollment ID: I20220228001796
Medical Identifiers
Medical identifiers for Rebecca L Brady such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659609584 | NPI | - | NPPES |
| 004231 | Other | CT | APRN CT STATE LISCENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 20163920 (Connecticut) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 20163920 (Connecticut) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 004231 (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. Rebecca L Brady allows following entities to bill medicare on her behalf.
| Entity Name | Connecticut Children's Specialty Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669448882
PECOS PAC ID: 6002720117
Enrollment ID: O20031113000468 |
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| Entity Name | Suffield Pediatric And Adolescent Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841075264
PECOS PAC ID: 8022468164
Enrollment ID: O20240102001625 |
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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. Rebecca L Brady 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 |
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Rebecca L Brady, APRN
49 Woods Hollow Rd,
West Suffield, CT 06093-2656
Ph: (860) 983-0580 | Rebecca L Brady, APRN
49 Woods Hollow Rd,
West Suffield, CT 06093-2656
Ph: (860) 983-0580 |
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