Alliance Medical Group, Inc is a
Internal Medicine based in Middlebury, Connecticut. Alliance Medical Group, Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1625 Straits Turnpike, Suite 110, Middlebury, Connecticut. It can be reached at their office (for appointments etc.) via phone at
(203) 758-8107.
NPI number for Alliance Medical Group, Inc is 1316273071 and their current mailing address is 1625 Straits Turnpike, Suite 201, Middlebury, Connecticut. Alliance Medical Group, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316273071.
Healthcare Provider's Profile
| Full Name | Alliance Medical Group, Inc |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 1625 Straits Turnpike, Middlebury, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316273071
- Provider Enumeration Date: 10/30/2009
- Last Update Date: 03/31/2016
Medical Identifiers
Medical identifiers for Alliance Medical Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316273071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 53369 (Connecticut) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (Connecticut) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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. Alliance Medical Group, Inc 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 |
|---|
Alliance Medical Group, Inc
1625 Straits Turnpike, Suite 201,
Middlebury, CT 06762-2613
Ph: (203) 573-9512 | Alliance Medical Group, Inc
1625 Straits Turnpike, Suite 110,
Middlebury, CT 06762-2613
Ph: (203) 758-8107 |
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