Douglas Brandt, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Old Saybrook, Connecticut. His current practice location is
20 Research Pkwy, Old Saybrook, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(800) 370-3651.
Douglas Brandt is licensed to practice in Connecticut (license number 025691) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487742243.
Physician's Profile
Full Name | Douglas Brandt |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 20 Research Pkwy, Old Saybrook, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487742243
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597845610
- Enrollment ID: I20080307000106
Medical Identifiers
Medical identifiers for Douglas Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487742243 | NPI | - | NPPES |
1256917CL | Other | | CLINIC NUMBER |
4024972 | Medicaid | CT | |
4014679 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 17778 (South Carolina) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD13289 (Rhode Island) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 025691 (Connecticut) | Primary |
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. Douglas Brandt allows following entities to bill medicare on his behalf.
Entity Name | Windham Community Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
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Entity Name | Natchaug Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008 |
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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. Douglas Brandt 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 Address | Practice Location Address |
Douglas Brandt, MD 20 Research Parkway, Old Saybrook, CT 06475-4214 Ph: (800) 370-3651 | Douglas Brandt, MD 20 Research Pkwy, Old Saybrook, CT 06475-4214 Ph: (800) 370-3651 |
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