Wendy Mariko Awa, APRN in Bridgeport, CT - Medicare Nurse Practitioner

Wendy Mariko Awa, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Bridgeport, Connecticut. She graduated from nursing school in 2017 and has 7 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 2800 Main St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 210-6177.

Wendy Mariko Awa is licensed to practice in Connecticut (license number 7420) 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 1770090789.

Contact Information

	Wendy Mariko Awa, APRN
	2800 Main St, Bridgeport, CT 06606-4201
	(475) 210-6177
	(475) 210-6146

Map and Direction

Provider's Profile

Full Name	Wendy Mariko Awa
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2800 Main St, Bridgeport, 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:

Wendy Mariko Awa graduated from nursing school in 2017

NPI Data:

NPI Number: 1770090789
Provider Enumeration Date: 12/29/2017
Last Update Date: 04/07/2022

Medicare PECOS Information:

PECOS PAC ID: 9234490368
Enrollment ID: I20180306000170

Medical Identifiers

Medical identifiers for Wendy Mariko Awa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770090789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	106481 (Connecticut)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	7420 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St. Vincent's Medical Center	Bridgeport, 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. Wendy Mariko Awa allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Wendy Mariko Awa 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
Wendy Mariko Awa, APRN 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 Ph: (475) 210-6177	Wendy Mariko Awa, APRN 2800 Main St, Bridgeport, CT 06606-4201 Ph: (475) 210-6177

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

Wendy Mariko Awa, APRN - Medicare Nurse Practitioner in Bridgeport, CT