David Bruce Bouslough, MD - Medicare Emergency Medicine in New London, CT

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David Bruce Bouslough, MD is a medicare enrolled "Emergency Medicine" physician in New London, Connecticut. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lmw Healthcare Inc, Hawk Emergency Group, P.c. and his current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 442-0711.

David Bruce Bouslough is licensed to practice in Connecticut (license number 62616) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407870330.

Contact Information

David Bruce Bouslough, MD
365 Montauk Ave,
New London, CT 06320
(860) 442-0711
(203) 688-9638

Map and Direction




Physician's Profile

Full NameDavid Bruce Bouslough
GenderMale
SpecialityEmergency Medicine
Experience23 Years
Location365 Montauk Ave, New London, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Bruce Bouslough graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1407870330
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 07/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789649179
  • Enrollment ID: I20041124000672

Medical Identifiers

Medical identifiers for David Bruce Bouslough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407870330NPI-NPPES
1407870330OtherRINPI
7056948MedicaidRI
06222010OtherMATUFTS HEALTH PLAN
07082010OtherRINHPRI
12142010OtherRITRICARE
939025129OtherRIRI MEDICARE GROUP NUMBER
06292010OtherRIBCBSRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A96799 (American Samoa)Secondary
207P00000XEmergency Medicine MD11583 (Rhode Island)Secondary
207P00000XEmergency Medicine 62616 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mackinac Straits Hospital And Health CenterSaint ignace, MIHospital
Charlevoix Area HospitalCharlevoix, MIHospital
Westerly HospitalWesterly, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lmw Healthcare Inc701215511219
Hawk Emergency Group, P.c.680024105041

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Bruce Bouslough allows following entities to bill medicare on his behalf.
Entity NameEmergency Physician Associates Of New England Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427381052
PECOS PAC ID: 9931236395
Enrollment ID: O20100416000541
Entity NameLmw Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447595368
PECOS PAC ID: 7012155112
Enrollment ID: O20190520001320

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. David Bruce Bouslough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Bruce Bouslough, MD
20 York Street, Cb-2041,
New Haven, CT 06510-3220

Ph: (203) 688-1734		David Bruce Bouslough, MD
365 Montauk Ave,
New London, CT 06320

Ph: (860) 442-0711

Reviews and Comments


Emergency Medicine Doctors in New London, CT

Samuel Maryles, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 330-493-4443    Fax: 330-493-8677
Michael James Drechsler, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Dr. Anthony Noto, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Russell Firman, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 330-493-4443    Fax: 330-493-8677
Siri L Daulaire, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Jayson Podber, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 330-493-4443    Fax: 330-493-8677
Sophia Gee O'donnell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, Emergency Medicine Department, New London, CT 06320
Phone: 860-444-3733    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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