Dr Edward John Detweiler Iv, DO in Hartford, CT

Dr Edward John Detweiler Iv, DO is a medicare enrolled "Family Medicine" physician in Hartford, Connecticut. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Trinity Health Of New England Provider Network Organization Inc, Riverbend Medical Group Inc and his current practice location is 114 Woodland St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 714-4000.

Dr Edward John Detweiler Iv is licensed to practice in Connecticut (license number 66853) 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 1588152789.

Contact Information

	Dr Edward John Detweiler Iv, DO
	114 Woodland St, Hartford, CT 06105-1208
	(860) 714-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Edward John Detweiler Iv
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	114 Woodland St, Hartford, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Edward John Detweiler Iv graduated from medical school in 2018

NPI Data:

NPI Number: 1588152789
Provider Enumeration Date: 04/24/2018
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6002220639
Enrollment ID: I20210122000616

Medical Identifiers

Medical identifiers for Dr Edward John Detweiler Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588152789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	66853 (Connecticut)	Secondary
207Q00000X	Family Medicine	66853 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson Memorial Hospital	Stafford springs, CT	Hospital
St Francis Hospital & Medical Center	Hartford, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Health Of New England Provider Network Organization Inc	0941113567	613
Riverbend Medical Group Inc	5698064343	159

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 Edward John Detweiler Iv allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

Entity Name	Afc Physicians Of Connecticut, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003152984 PECOS PAC ID: 5193966893 Enrollment ID: O20130723000274

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 Edward John Detweiler Iv 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
Dr Edward John Detweiler Iv, DO 71 Haynes St, Manchester, CT 06040-4131 Ph: (860) 533-4679	Dr Edward John Detweiler Iv, DO 114 Woodland St, Hartford, CT 06105-1208 Ph: (860) 714-4000

Reviews and Comments

Family Medicine Doctors in Hartford, CT

Nicole Poole, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Woodland St, Hartford, CT 06105 Phone: 860-714-7527
Robin B. Gold, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Woodland St, Asylum Hill Family Medicine Center, Inc, Hartford, CT 06105 Phone: 860-714-4212 Fax: 860-714-8080
Gian Grant-mcgarvey, MD, MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Woodland St, Hartford, CT 06105 Phone: 860-714-4212 Fax: 860-714-8080
Joshua M Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 43 Woodland St, Hartford, CT 06105 Phone: 888-793-3500
Shamim N Schroeder, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-808-8726 Fax: 860-808-1580
Robert A Cushman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Woodland St, Hartford, CT 06105 Phone: 860-714-4212 Fax: 860-714-8080
Dr. Marcos Alfonso Iglesias, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Tower Sq # Ms 07, Hartford, CT 06183 Phone: 860-461-8733

Dr Edward John Detweiler Iv, DO - Medicare Family Practice in Hartford, CT