Douglas Macgilpin, MD | |
505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 | |
(860) 666-5601 | |
(860) 666-2539 |
Full Name | Douglas Macgilpin |
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Gender | Male |
Speciality | Pediatrics |
Location | 505 Willard Avenue, Newington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023083573 | NPI | - | NPPES |
001180603 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 018060 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
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Douglas Macgilpin, MD 4 Farm Springs, Farmington, CT 06032 Ph: (860) 284-5200 | Douglas Macgilpin, MD 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 Ph: (860) 666-5601 |
Dr. Amy L Baumer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Willard Ave, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-667-3909 | |
Dr. Jonathan Robert Reidel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111 Phone: 860-666-5167 Fax: 860-665-8168 | |
Laura J Pickett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 141 Willard Avenue, Newington, CT 06111 Phone: 860-666-5601 | |
Dr. Courtney Lynne Souza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Willard Ave, Dept Of Pediatrics, Newington, CT 06111 Phone: 860-666-5167 Fax: 860-665-8168 | |
Dr. Richard C Harvey Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Willard Ave, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-667-3909 | |
Shiji A. Isaac, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 |