Nicole Elizabeth Antoniadis, PSYD in Meriden, CT - Medicare Psychologist Provider

Nicole Elizabeth Antoniadis, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Meriden, Connecticut. Her current practice location is 61 Pomeroy Ave, Meriden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 694-5340.

Nicole Elizabeth Antoniadis is licensed to practice in Connecticut (license number 4290) 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 1962855593.

Contact Information

	Nicole Elizabeth Antoniadis, PSYD
	61 Pomeroy Ave, Meriden, CT 06450-7482
	(203) 694-5340
	(203) 694-5385

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Elizabeth Antoniadis
Gender	Female
Speciality	Psychologist - Clinical
Location	61 Pomeroy Ave, Meriden, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962855593
Provider Enumeration Date: 07/19/2016
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 9234505355
Enrollment ID: I20221014001125

Medical Identifiers

Medical identifiers for Nicole Elizabeth Antoniadis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962855593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4290 (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. Nicole Elizabeth Antoniadis allows following entities to bill medicare on her behalf.

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. Nicole Elizabeth Antoniadis 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
Nicole Elizabeth Antoniadis, PSYD 61 Pomeroy Ave, Meriden, CT 06450-7482 Ph: (203) 694-5340	Nicole Elizabeth Antoniadis, PSYD 61 Pomeroy Ave, Meriden, CT 06450-7482 Ph: (203) 694-5340

Reviews and Comments

Psychologist in Meriden, CT

Thomas Finn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 271 Finch Ave, Meriden, CT 06451 Phone: 203-237-8084
Maria Ramos, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677
Theresa Porter, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 883 Paddock Ave, Meriden, CT 06450 Phone: 860-223-3767
Michael Lamarr Farrow, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229
Dr. Ronald Joseph Brone, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 883 Paddock Ave, Meriden, CT 06450 Phone: 203-630-5280
Norah Aimee Rodriguez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677

Nicole Elizabeth Antoniadis, PSYD - Medicare Psychologist in Meriden, CT