Daniel Joseph Scoppetta, MD | |
25 Newell Rd, Suite D28, Bristol, CT 06010-5100 | |
(860) 582-1220 | |
(860) 582-6255 |
Full Name | Daniel Joseph Scoppetta |
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Gender | Male |
Speciality | Surgery |
Location | 25 Newell Rd, Bristol, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578587705 | NPI | - | NPPES |
001205913 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 020591 (Connecticut) | Primary |
Entity Name | Bristol Hospital Multi-specialty Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960 |
Mailing Address | Practice Location Address |
---|---|
Daniel Joseph Scoppetta, MD Po Box 2828, Bristol, CT 06011-2828 Ph: (860) 585-3906 | Daniel Joseph Scoppetta, MD 25 Newell Rd, Suite D28, Bristol, CT 06010-5100 Ph: (860) 582-1220 |
Rainer Wolf Bagdasarian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite D28, Bristol, CT 06010 Phone: 860-583-2003 Fax: 860-582-6255 | |
Khaula Khatlani, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 975 Farmington Ave Ste 1, Bristol, CT 06010 Phone: 860-589-0114 Fax: 860-589-1936 | |
Kenneth George Benoit, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 85 Beleden Gardens Drive, Bristol, CT 06010 Phone: 860-582-1220 Fax: 860-582-6255 | |
James Thomas Sayre, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Beleden Gardens Dr, Bristol, CT 06010 Phone: 860-582-1220 Fax: 860-582-6255 | |
Sai Varanasi, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 | |
Ara D Bagdasarian, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, Ste D-21, Bristol, CT 06010 Phone: 860-583-2003 Fax: 860-583-1639 |