Stacey F Hauben, in Putnam, CT - Medicare Nurse Anesthetist, Certified Registered

Stacey F Hauben, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Putnam, Connecticut. Her current practice location is 320 Pomfret St, Putnam, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 928-6541.

Stacey F Hauben is licensed to practice in Connecticut (license number 10974) 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 1558934323.

Contact Information

	Stacey F Hauben,
	320 Pomfret St, Putnam, CT 06260-1836
	(860) 928-6541
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey F Hauben
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	320 Pomfret St, Putnam, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558934323
Provider Enumeration Date: 07/20/2021
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5395112106
Enrollment ID: I20221108002694

Medical Identifiers

Medical identifiers for Stacey F Hauben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558934323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	10974 (Connecticut)	Primary
163W00000X	Registered Nurse	111869 (Connecticut)	Secondary

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. Stacey F Hauben allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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. Stacey F Hauben 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
Stacey F Hauben, 19 Rock Hill Rd, Woodbridge, CT 06525-1103 Ph: (203) 927-3362	Stacey F Hauben, 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 928-6541

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Putnam, CT

Michael M. Barry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541
Mrs. Summer R Slanda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret Street, Putnam, CT 06260 Phone: 860-928-6541 Fax: 954-851-1746
Mrs. Nancy P. Deptulski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15 Brookside Lndg, Attn Nancy Deptulski, Putnam, CT 06260 Phone: 860-634-4449
Richard A Guilbault, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541
Aziz Tahirov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret Street, Putnam, CT 06260 Phone: 860-928-6541

Stacey F Hauben, - Medicare Nurse Anesthetist, Certified Registered in Putnam, CT