Jacqueline S Nissen, MD - Medicare Internal Medicine in Farmington, CT

Jacqueline S Nissen, MD is a medicare enrolled "Internal Medicine" physician in Farmington, Connecticut. She went to University Of Connecticut School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice University Of Connecticut Health Center and her current practice location is 263 Farmington Ave, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 679-4477.

Jacqueline S Nissen is licensed to practice in Connecticut (license number 032545) 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 1053318618.

Contact Information

Jacqueline S Nissen, MD
263 Farmington Ave,
Farmington, CT 06030-1921
(860) 679-4477
(860) 679-1025



Physician's Profile

Full NameJacqueline S Nissen
GenderFemale
SpecialityInternal Medicine
Experience35 Years
Location263 Farmington Ave, Farmington, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline S Nissen attended and graduated from University Of Connecticut School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1053318618
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 07/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345375622
  • Enrollment ID: I20100312000289

Medical Identifiers

Medical identifiers for Jacqueline S Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053318618NPI-NPPES
1325457MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 032545 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John Dempsey HospitalFarmington, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Connecticut Health Center3678472016523

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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. Jacqueline S Nissen allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Connecticut Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720083769
PECOS PAC ID: 3678472016
Enrollment ID: O20040106000105

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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. Jacqueline S Nissen 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 AddressPractice Location Address
Jacqueline S Nissen, MD
263 Farmington Ave, Provider Enrollment,
Farmington, CT 06030-2212

Ph: (860) 679-7503
Jacqueline S Nissen, MD
263 Farmington Ave,
Farmington, CT 06030-1921

Ph: (860) 679-4477

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Internal Medicine Doctors in Farmington, CT

Maroun Sfeir,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 263 Farmington Avenue, Farmington, CT 06030
Phone: 860-679-2980    Fax: 860-679-4334
Andrew Arnold, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3245    Fax: 860-679-1867
Dr. Neelam Tailor, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4763    Fax: 860-479-4624
Dr. David K. Bowers, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 263 Farmington Ave, Farmington, CT 06032
Phone: 860-679-4477    Fax: 860-679-1025
Scott R Allen, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4477    Fax: 860-679-1025
Carl D Malchoff, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3245    Fax: 860-679-1867
Beatriz R Esayag-tendler, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3343    Fax: 860-679-4256

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