Rebekka Kelly David, is a medicare enrolled "Registered Nurse - Gerontology" in East Berlin, Connecticut. Her current practice location is
18 Magnolia Ln, East Berlin, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 637-9856.
Rebekka Kelly David is licensed to practice in Connecticut (license number E58330) 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 1407426661.
Provider's Profile
Full Name | Rebekka Kelly David |
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Gender | Female |
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Speciality | Registered Nurse - Gerontology |
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Location | 18 Magnolia Ln, East Berlin, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407426661
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 06/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971976887
- Enrollment ID: I20230223001805
Medical Identifiers
Medical identifiers for Rebekka Kelly David such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407426661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0600X | Registered Nurse - Gerontology | E58330 (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. Rebekka Kelly David allows following entities to bill medicare on her behalf.
Entity Name | Inhouse Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598138943 PECOS PAC ID: 0648575258 Enrollment ID: O20160219000098 |
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Entity Name | Hdc Care Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033861349 PECOS PAC ID: 0345634770 Enrollment ID: O20220315001878 |
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Entity Name | Careconnectmd Connecticut P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467187336 PECOS PAC ID: 4486037975 Enrollment ID: O20220816002266 |
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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. Rebekka Kelly David 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 |
Rebekka Kelly David, 18 Magnolia Ln, East Berlin, CT 06023-1008 Ph: (860) 937-9856 | Rebekka Kelly David, 18 Magnolia Ln, East Berlin, CT 06023-1008 Ph: (860) 637-9856 |
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