Stacey Gaudenzi, in New Milford, CT - Medicare Occupational Therapist Provider

Stacey Gaudenzi, is a medicare enrolled "Occupational Therapist" provider in New Milford, Connecticut. Her current practice location is 131 Kent Rd, New Milford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 350-3330.

Stacey Gaudenzi is licensed to practice in * (Not Available) (license number ) 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 1699880955.

Contact Information

	Stacey Gaudenzi,
	131 Kent Rd, New Milford, CT 06776-3485
	(860) 350-3330
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Gaudenzi
Gender	Female
Speciality	Occupational Therapist
Location	131 Kent Rd, New Milford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699880955
Provider Enumeration Date: 08/20/2006
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4385087030
Enrollment ID: I20240209000255

Medical Identifiers

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

Identifier	Type	State	Issuer
1699880955	NPI	-	NPPES
003057	Other	CT	LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Stacey Gaudenzi allows following entities to bill medicare on her behalf.

Provider Name	Restore Mobile Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205451663 PECOS PAC ID: 3072939669 Enrollment ID: O20200813000467

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 Gaudenzi 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 Gaudenzi, 158 Aspetuck Vlg, New Milford, CT 06776-5624 Ph: () -	Stacey Gaudenzi, 131 Kent Rd, New Milford, CT 06776-3485 Ph: (860) 350-3330

Reviews and Comments

Occupational Therapist in New Milford, CT

Mr. Deborah S Williams, OTC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Sun Pond Ln, New Milford, CT 06776 Phone: 860-945-3012 Fax: 860-945-9854
Emily Rose Bender, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330
Karen Garren, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330
Kara Anne Leake, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330 Fax: 860-350-3520
Lisa Martin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 76 Beard Dr, New Milford, CT 06776 Phone: 203-417-1333
Kathleen Boyce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Park Ln E, New Milford, CT 06776 Phone: 860-355-0971

Stacey Gaudenzi, - Medicare Occupational Therapist in New Milford, CT