Zachary Austin Kietzman, NP-C in Farmington, CT

Zachary Austin Kietzman, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Farmington, Connecticut. His current practice location is 3 Farm Glen Blvd, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (803) 629-4134.

Zachary Austin Kietzman is licensed to practice in Connecticut (license number 12068) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861012015.

Contact Information

	Zachary Austin Kietzman, NP-C
	3 Farm Glen Blvd, Farmington, CT 06030-1285
	(803) 629-4134
	Not Available

Map and Direction

Provider's Profile

Full Name	Zachary Austin Kietzman
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	3 Farm Glen Blvd, Farmington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861012015
Provider Enumeration Date: 04/17/2020
Last Update Date: 08/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8426470428
Enrollment ID: I20231107001202

Medical Identifiers

Medical identifiers for Zachary Austin Kietzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861012015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	209707 (Connecticut)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	RN236642 (Georgia)	Secondary
163W00000X	Registered Nurse	RN236642 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	12068 (Connecticut)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	RN236642 (Georgia)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	12068 (Connecticut)	Primary

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. Zachary Austin Kietzman 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
Zachary Austin Kietzman, NP-C 87b Olive St, New Haven, CT 06511-6913 Ph: (803) 629-4134	Zachary Austin Kietzman, NP-C 3 Farm Glen Blvd, Farmington, CT 06030-1285 Ph: (803) 629-4134

Reviews and Comments

Nurse Practitioner Nurses in Farmington, CT

Mrs. Laura Elizabeth Gabriel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Garden St, Farmington, CT 06032 Phone: 860-777-5829
Paula M. Mccauley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649
Ms. Tammy Michelle Davino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3107 Fax: 860-679-1843
Salome Tsurtsumia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Talcott Notch Rd, Farmington, CT 06032 Phone: 860-679-6700
Mrs. Carey Reynholds Driscoll, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 Farmington Ave, 2nd Floor, Farmington, CT 06032 Phone: 860-837-6700 Fax: 860-837-6745
Carol Ann Nati, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Orthopaedics, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6604
Nancy D Baccaro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Uconn Medical Group/cancer Center, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815

Zachary Austin Kietzman, NP-C - Medicare Nurse Practitioner in Farmington, CT