Renee Pavlovich, APRN in Hartford, CT - Medicare Nurse Practitioner

Renee Pavlovich, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. Her current practice location is 80 Seymour Street, Hartford Hospital Emergency Medicine, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 972-0000.

Renee Pavlovich is licensed to practice in Connecticut (license number 005792) 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 1093124679.

Contact Information

	Renee Pavlovich, APRN
	80 Seymour Street, Hartford Hospital Emergency Medicine, Hartford, CT 06102-5037
	(860) 972-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Renee Pavlovich
Gender	Female
Speciality	Nurse Practitioner - Family
Location	80 Seymour Street, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093124679
Provider Enumeration Date: 08/07/2014
Last Update Date: 08/07/2014

Medicare PECOS Information:

PECOS PAC ID: 6507088713
Enrollment ID: I20141103002058

Medical Identifiers

Medical identifiers for Renee Pavlovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093124679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	005792 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	005792 (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. Renee Pavlovich allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

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. Renee Pavlovich 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
Renee Pavlovich, APRN Po Box 41933, Hartford Hospital Professional Services, Boston, MA 02241-5933 Ph: (860) 972-9047	Renee Pavlovich, APRN 80 Seymour Street, Hartford Hospital Emergency Medicine, Hartford, CT 06102-5037 Ph: (860) 972-0000

Reviews and Comments

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Renee Pavlovich, APRN - Medicare Nurse Practitioner in Hartford, CT