David Edelheit, MD - Medicare Family Practice in Coventry, CT

David Edelheit, MD is a medicare enrolled "Family Medicine" physician in Coventry, Connecticut. He went to State University Of Ny Upstate Medical University and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prohealth Physicians Pc and his current practice location is 1707 Boston Tpke, Coventry, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 742-9050.

David Edelheit is licensed to practice in Connecticut (license number 404306) 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 1558338004.

Contact Information

David Edelheit, MD
1707 Boston Tpke,
Coventry, CT 06238-1105
(860) 742-9050
(860) 742-9097

Map and Direction




Physician's Profile

Full NameDavid Edelheit
GenderMale
SpecialityFamily Practice
Experience26 Years
Location1707 Boston Tpke, Coventry, 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 Edelheit attended and graduated from State University Of Ny Upstate Medical University in 1998
  NPI Data:
  • NPI Number: 1558338004
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 01/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0446383657
  • Enrollment ID: I20100809000149

Medical Identifiers

Medical identifiers for David Edelheit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558338004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 404306 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Visiting Nurse & Health Services Of ConnecticutVernon, CTHospice
Manchester Memorial HospitalManchester, CTHospital
Rockville General HospitalRockville, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Physicians Pc1355246950217

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 Edelheit allows following entities to bill medicare on his behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602

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 Edelheit 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 Edelheit, MD
Po Box 3249,
Vernon, CT 06066-2149

Ph: (860) 872-2289
David Edelheit, MD
1707 Boston Tpke,
Coventry, CT 06238-1105

Ph: (860) 742-9050

Reviews and Comments


Family Medicine Doctors in Coventry, CT

Arleen Rita Sergis, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1776 Boston Tpke, Coventry, CT 06238
Phone: 860-742-7315    Fax: 860-742-7367

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.