Judy D Mamaclay, MD - Medicare Internal Medicine in Mystic, CT

Judy D Mamaclay, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Mystic, Connecticut. Her current practice location is 3 Heron Rd, Mystic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 536-6442.

Judy D Mamaclay is licensed to practice in Connecticut (license number 040859) 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 1457357618.

Contact Information

Judy D Mamaclay, MD
3 Heron Rd,
Mystic, CT 06355-3253
(860) 536-6442
(860) 536-6442



Physician's Profile

Full NameJudy D Mamaclay
GenderFemale
SpecialityInternal Medicine - Geriatric Medicine
Location3 Heron Rd, Mystic, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457357618
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 12/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072537935
  • Enrollment ID: I20131011000723

Medical Identifiers

Medical identifiers for Judy D Mamaclay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457357618NPI-NPPES
001408592MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 040859 (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. Judy D Mamaclay allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Judy D Mamaclay 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
Judy D Mamaclay, MD
3 Heron Rd,
Mystic, CT 06355-3253

Ph: (860) 536-6442
Judy D Mamaclay, MD
3 Heron Rd,
Mystic, CT 06355-3253

Ph: (860) 536-6442

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Internal Medicine Doctors in Mystic, CT

Dr. Sumeet Sanjeev Pawar, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Perkins Farm Dr Ste 301, Mystic, CT 06355
Phone: 860-572-5400    
Mr. Edmund A P West, MD
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 56 Whitehall Ave, Rt 27, Mystic, CT 06355
Phone: 860-572-8282    Fax: 860-572-7445
Dr. Thomas March Blum, M.D.
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355
Phone: 860-572-8911    Fax: 860-572-7758
Dr. James David Scarles, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355
Phone: 860-572-8911    Fax: 860-572-7758
Dr. Adam F Niedelman, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Perkins Farm Dr Ste 301, Mystic, CT 06355
Phone: 860-572-5400    
Dr. Howard Brensilver, M.D.
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355
Phone: 860-572-8911    Fax: 860-572-7758
Rosemary Catherine Bontempi, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355
Phone: 860-572-8911    Fax: 860-572-7758

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