Asena Derohannesian, - Medicare Nurse Practitioner in Bridgeport, CT

Asena Derohannesian, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Bridgeport, Connecticut. Her current practice location is 425 Thorme St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 275-4115.

Asena Derohannesian is licensed to practice in Connecticut (license number 6410) 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 1043685308.

Contact Information

Asena Derohannesian,
425 Thorme St,
Bridgeport, CT 06606-3418
(203) 275-4115
(203) 275-0198



Provider's Profile

Full NameAsena Derohannesian
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location425 Thorme St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043685308
  • Provider Enumeration Date: 12/11/2015
  • Last Update Date: 10/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7517232408
  • Enrollment ID: I20221117001707

Medical Identifiers

Medical identifiers for Asena Derohannesian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043685308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 6410 (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. Asena Derohannesian allows following entities to bill medicare on her behalf.
Entity NamePremier Medical Group Of The Hudson Valley Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255437166
PECOS PAC ID: 3072575109
Enrollment ID: O20070301000268

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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. Asena Derohannesian 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
Asena Derohannesian,
46 Albion St,
Bridgeport, CT 06605-2602

Ph: (203) 330-6000
Asena Derohannesian,
425 Thorme St,
Bridgeport, CT 06606-3418

Ph: (203) 275-4115

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Nurse Practitioner Nurses in Bridgeport, CT

Ryan Keenan, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3000    
Caroline Mead Farrell,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 725 Park Ave, Bridgeport, CT 06604
Phone: 908-489-4847    
Miss Sandra Shipkowitz, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-4490    
Patricia Anne Simpson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-368-3000    
Dr. Samantha Mraz, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 46 Albion St, Bridgeport, CT 06605
Phone: 203-332-3584    
Esther M Mervil, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 471 Barnum Ave, Bridgeport, CT 06608
Phone: 203-333-6864    Fax: 203-332-0376

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