Shavonne Larcenia Overton, in Bridgeport, CT - Medicare Nurse Practitioner

Shavonne Larcenia Overton, is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. Her current practice location is 58 Tully Cir, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 680-2922.

Shavonne Larcenia Overton is licensed to practice in Connecticut (license number 12.011424) 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 1922713254.

Contact Information

	Shavonne Larcenia Overton,
	58 Tully Cir, Bridgeport, CT 06610-1116
	(860) 680-2922
	Not Available

Map and Direction

Provider's Profile

Full Name	Shavonne Larcenia Overton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	58 Tully Cir, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922713254
Provider Enumeration Date: 01/20/2023
Last Update Date: 01/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4688047947
Enrollment ID: I20240409004270

Medical Identifiers

Medical identifiers for Shavonne Larcenia Overton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922713254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12.011424 (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. Shavonne Larcenia Overton allows following entities to bill medicare on her behalf.

Entity Name	Hdc Care Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033861349 PECOS PAC ID: 0345634770 Enrollment ID: O20220315001878

Entity Name	Careconnectmd Connecticut P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467187336 PECOS PAC ID: 4486037975 Enrollment ID: O20220816002266

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. Shavonne Larcenia Overton 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
Shavonne Larcenia Overton, 58 Tully Cir, Bridgeport, CT 06610-1116 Ph: (860) 680-2922	Shavonne Larcenia Overton, 58 Tully Cir, Bridgeport, CT 06610-1116 Ph: (860) 680-2922

Reviews and Comments

Nurse Practitioner Nurses in Bridgeport, CT

Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198

Shavonne Larcenia Overton, - Medicare Nurse Practitioner in Bridgeport, CT