Dr Joseph Gerard Conrad, LADC is a
Counselor - Addiction (substance Use Disorder) based in New Preston, Connecticut. Dr Joseph Gerard Conrad is licensed to practice in Connecticut (license number 01212) and his current practice location is
17 Church Street, New Preston, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 528-7852.
NPI number for Dr Joseph Gerard Conrad is 1497264014 and his current mailing address is 17 Church St, New Preston, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497264014.
Healthcare Provider's Profile
| Full Name | Dr Joseph Gerard Conrad |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 17 Church Street, New Preston, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497264014
- Provider Enumeration Date: 09/26/2017
- Last Update Date: 09/26/2017
Medical Identifiers
Medical identifiers for Dr Joseph Gerard Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497264014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 01212 (Connecticut) | Primary |
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. Dr Joseph Gerard Conrad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Joseph Gerard Conrad, LADC
17 Church St,
New Preston, CT 06777-1502
Ph: () - | Dr Joseph Gerard Conrad, LADC
17 Church Street,
New Preston, CT 06777
Ph: (203) 528-7852 |
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