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MARYKATE PESTANA
NPI 1356035877
Physician Assistant - Surgical in Waterbury, CT

Active since June 07, 2023PECOS EnrolledAccepts Medicare Assignment
56 FRANKLIN ST STE 1, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marykate Pestana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYKATE PESTANA (NPI 1356035877) is an individual surgical provider in Waterbury, Connecticut and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356035877
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARYKATE PESTANA
Location Address56 FRANKLIN ST STE 1Waterbury, CT 06706-1281
Mailing Address56 Franklin StWaterbury, CT 06706-1253
Phone(203) 709-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1356035877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
56 FRANKLIN ST STE 1, Waterbury, CT 06706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marykate Pestana is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587018486
PECOS Enrollment IDI20230926003756
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIKA CARD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479
DAIVYD ALEXANDER PALENCIA PACHECO MD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479
LUKE ZALEWSKI PA
Physician Assistant
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
LAUREN DALE
Physician Assistant (Medical)
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
ALEJANDRO MARTINEZ
Registered Nurse (Medical-Surgical)
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 609-6000
REBECCA JOSEPH
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
DR. MARCIA TEIXEIRA GONCALVES CRNA, DNP
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
SAINT MARY'S HOSPITAL, INC.
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479

Frequently Asked Questions

What is Marykate Pestana's NPI number?

The NPI number assigned to this healthcare provider is 1356035877, enumerated as an "individual" on June 07, 2023.

Where is the provider located?

The provider is located at 56 FRANKLIN ST STE 1 WATERBURY, CT 06706 and the phone number is (203) 709-6000.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.