Samantha Alyssa Pelow, APRN in Hartford, CT - Medicare Nurse Practitioner

Samantha Alyssa Pelow, APRN is a medicare enrolled "Nurse Practitioner" in Hartford, Connecticut. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 282 Washington St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-9520.

Samantha Alyssa Pelow is licensed to practice in Connecticut (license number 004957) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215200654.

Contact Information

	Samantha Alyssa Pelow, APRN
	282 Washington St, Hartford, CT 06106-3322
	(860) 545-9520
	(860) 545-9545

Map and Direction

Provider's Profile

Full Name	Samantha Alyssa Pelow
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	282 Washington St, Hartford, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Alyssa Pelow graduated from nursing school in 2011

NPI Data:

NPI Number: 1215200654
Provider Enumeration Date: 02/15/2012
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 2769639376
Enrollment ID: I20120904000061

Medical Identifiers

Medical identifiers for Samantha Alyssa Pelow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215200654	NPI	-	NPPES
004049573	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	337171 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	004957 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	004957 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1180

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. Samantha Alyssa Pelow allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Samantha Alyssa Pelow 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
Samantha Alyssa Pelow, APRN P.o. Box 415933, Hartford Hospital Professional Services, Boston, MA 02241-5933 Ph: (860) 545-7602	Samantha Alyssa Pelow, APRN 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9520

Reviews and Comments

Nurse Practitioner Nurses in Hartford, CT

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Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786
Marlo Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-0000
Audrey Bakanauskas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Cardiology, Hartford, CT 06105 Phone: 860-714-4161 Fax: 860-714-8001

Samantha Alyssa Pelow, APRN - Medicare Nurse Practitioner in Hartford, CT