Dr Mary Rose Gotardo Tantoco, MD in Uncasville, CT

Dr Mary Rose Gotardo Tantoco, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Uncasville, Connecticut. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Southeastern Ct Nephrology Assoc Pc and her current practice location is 88 Norwich New London Tpke Ste 2, Uncasville, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 367-0087.

Dr Mary Rose Gotardo Tantoco is licensed to practice in Connecticut (license number 62257) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336315969.

Contact Information

	Dr Mary Rose Gotardo Tantoco, MD
	88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518
	(860) 367-0087
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mary Rose Gotardo Tantoco
Gender	Female
Speciality	Nephrology
Experience	15 Years
Location	88 Norwich New London Tpke Ste 2, Uncasville, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mary Rose Gotardo Tantoco graduated from medical school in 2009

NPI Data:

NPI Number: 1336315969
Provider Enumeration Date: 05/04/2008
Last Update Date: 04/03/2019

Medicare PECOS Information:

PECOS PAC ID: 3072747666
Enrollment ID: I20190307000921

Medical Identifiers

Medical identifiers for Dr Mary Rose Gotardo Tantoco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336315969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	62257 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norwich Dialysis	Norwich, CT	Dialysis facility
New London Dialysis	New london, CT	Dialysis facility
Lawrence & Memorial Hospital	New london, CT	Hospital
William W Backus Hospital	Norwich, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Ct Nephrology Assoc Pc	3971554197	5

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 Mary Rose Gotardo Tantoco allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Ct Nephrology Assoc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619031796 PECOS PAC ID: 3971554197 Enrollment ID: O20050204000632

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 Mary Rose Gotardo Tantoco 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 Mary Rose Gotardo Tantoco, MD 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518 Ph: (860) 367-0087	Dr Mary Rose Gotardo Tantoco, MD 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518 Ph: (860) 367-0087

Reviews and Comments

Internal Medicine Doctors in Uncasville, CT

Dr. Altaf Rasool, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382 Phone: 860-367-0087
Saqib Inayatullah, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 Phone: 860-367-0087
Mihaela Olivia Negulescu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 88 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-367-0087
Bethany Luciani Miller, PA-C Nephrology Medicare: Not Enrolled in Medicare Practice Location: 80 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-848-1297 Fax: 860-848-9875
Donald J Felitto, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382 Phone: 860-367-0087 Fax: 860-367-0117
Jay M Ginsberg, MD Nephrology Medicare: Medicare Enrolled Practice Location: 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382 Phone: 860-367-0087 Fax: 860-367-0117

Dr Mary Rose Gotardo Tantoco, MD - Medicare Nephrology in Uncasville, CT