Bernard J Ferguson Iv, MD | |
365 Montauk Ave, New London, CT 06320-4700 | |
(860) 442-0711 | |
Not Available |
Full Name | Bernard J Ferguson Iv |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558335604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 026962 (Connecticut) | Primary |
207P00000X | Emergency Medicine | 026962 (Connecticut) | Secondary |
Entity Name | Lawrence And Memorial Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142 |
Mailing Address | Practice Location Address |
---|---|
Bernard J Ferguson Iv, MD 81 Pearl St, Groton, CT 06340-5762 Ph: (860) 536-3027 | Bernard J Ferguson Iv, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 |
Amit Khanna, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Patti Mugo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv Ste 103, New London, CT 06320 Phone: 860-443-3778 | |
Dr. Lakshmi Basu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 931 Bank St., New London, CT 06320 Phone: 860-447-2233 Fax: 860-447-2669 | |
Dr. Fung (adam) Yeung, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Wilton Craig Calderon, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 194 Howard St, New London, CT 06320 Phone: 860-444-3366 | |
Adam Seidner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Montauk Ave, New London, CT 06320 Phone: 860-344-6300 Fax: 860-344-9249 | |
Dr. Margret Rydell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, Suite 103, New London, CT 06320 Phone: 860-443-3788 Fax: 860-443-8820 |