Dr Ebenezer Kolade, MD - Medicare Internal Medicine in Bridgeport, CT

  1. Home
  2. Internal Medicine
  3. CT
  4. Bridgeport
Dr Ebenezer Kolade, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Bridgeport, Connecticut. His current practice location is 4675 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 372-3333.

Dr Ebenezer Kolade is licensed to practice in Connecticut (license number 040029) 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 1376618611.

Contact Information

Dr Ebenezer Kolade, MD
4675 Main St,
Bridgeport, CT 06606-1813
(203) 372-3333
(203) 374-7515

Map and Direction




Physician's Profile

Full NameDr Ebenezer Kolade
GenderMale
SpecialityInternal Medicine - Addiction Medicine
Location4675 Main St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376618611
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 07/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143245332
  • Enrollment ID: I20051011000018

Medical Identifiers

Medical identifiers for Dr Ebenezer Kolade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376618611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0401XInternal Medicine - Addiction Medicine 040029 (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. Dr Ebenezer Kolade allows following entities to bill medicare on his behalf.
Entity NameNew Era Rehabilitation Center,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255372108
PECOS PAC ID: 3072538263
Enrollment ID: O20051006000655

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. Dr Ebenezer Kolade 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
Dr Ebenezer Kolade, MD
4675 Main St,
Bridgeport, CT 06606-1813

Ph: (203) 372-3333		Dr Ebenezer Kolade, MD
4675 Main St,
Bridgeport, CT 06606-1813

Ph: (203) 372-3333

Reviews and Comments


Internal Medicine Doctors in Bridgeport, CT

Mitchell Andrew Fogel, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 900 Madison Ave, Suite 209, Bridgeport, CT 06606
Phone: 203-335-0195    Fax: 203-335-7293
Christian Heineken, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606
Phone: 203-373-9100    Fax: 203-365-8492
Pasquale Masone, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606
Phone: 203-373-9100    Fax: 203-365-8492
Kevin B Panzer, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1381 Reservoir Ave., Bridgeport, CT 06606
Phone: 203-371-5197    
Ms. Lucia Plichtova, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 267 Grant Street, Bridgeport, CT 06610
Phone: 203-384-3792    
Hilda Daureen Kyotakoze, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 4920 Main St Fl 2, Bridgeport, CT 06606
Phone: 203-371-2986    
Karen A Hutchinson, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829

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.