Angela Deleon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Waterbury, Connecticut. Her current practice location is
1309 S Main St, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 756-8021.
Angela Deleon is licensed to practice in Connecticut (license number 11607) 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 1477988566.
Healthcare Provider's Profile
Full Name | Angela Deleon |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1309 S Main St, Waterbury, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477988566
- Provider Enumeration Date: 09/07/2013
- Last Update Date: 04/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608233374
- Enrollment ID: I20230612001993
Medical Identifiers
Medical identifiers for Angela Deleon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477988566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TH0004X | Psychologist - Health | 111980 (Connecticut) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11607 (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. Angela Deleon allows following entities to bill medicare on her behalf.
Entity Name | Staywell Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
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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. Angela Deleon 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 |
Angela Deleon, PMHNP 80 Phoenix Ave, Waterbury, CT 06702-1418 Ph: (203) 756-8021 | Angela Deleon, PMHNP 1309 S Main St, Waterbury, CT 06706-1758 Ph: (203) 756-8021 |
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