Nicole E Gipp, CRNA - Medicare Anesthesiologist Assistant in Stratford, CT

Nicole E Gipp, CRNA is a medicare enrolled "Anesthesiologist Assistant" in Stratford, Connecticut. Her current practice location is 7365 Main St, Suite 310, Stratford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3174.

Nicole E Gipp is licensed to practice in Connecticut (license number 004409) 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 1629398177.

Contact Information

Nicole E Gipp, CRNA
7365 Main St, Suite 310,
Stratford, CT 06614-1300
(203) 384-3174
(203) 384-4619



Provider's Profile

Full NameNicole E Gipp
GenderFemale
SpecialityAnesthesiologist Assistant
Location7365 Main St, Stratford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629398177
  • Provider Enumeration Date: 06/07/2010
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113041237
  • Enrollment ID: I20121128000402

Medical Identifiers

Medical identifiers for Nicole E Gipp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629398177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 082127 (Connecticut)Secondary
367H00000XAnesthesiologist Assistant 004409 (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 E Gipp 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. Nicole E Gipp 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
Nicole E Gipp, CRNA
7365 Main St, Suite 310,
Stratford, CT 06614-1300

Ph: (203) 384-3174
Nicole E Gipp, CRNA
7365 Main St, Suite 310,
Stratford, CT 06614-1300

Ph: (203) 384-3174

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Anesthesiologist Assistant Nurses in Stratford, CT

Ling Chow,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7365 Main St, Suite 310, Stratford, CT 06614
Phone: 203-384-3072    

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