Dr Oliver Mayorga, MD in New London, CT - Medicare Emergency Medicine

Dr Oliver Mayorga, MD is a medicare enrolled "Emergency Medicine" physician in New London, Connecticut. His current practice location is 365 Montauk Ave, Emergency Department, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 442-0711.

Dr Oliver Mayorga is licensed to practice in Connecticut (license number 047292) 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 1720054661.

Contact Information

	Dr Oliver Mayorga, MD
	365 Montauk Ave, Emergency Department, New London, CT 06320-4700
	(860) 442-0711
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Oliver Mayorga
Gender	Male
Speciality	Emergency Medicine
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720054661
Provider Enumeration Date: 02/28/2006
Last Update Date: 03/07/2019

Medicare PECOS Information:

PECOS PAC ID: 9234137092
Enrollment ID: I20090526000004

Medical Identifiers

Medical identifiers for Dr Oliver Mayorga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720054661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	19457 (Mississippi)	Secondary
207P00000X	Emergency Medicine	233384 (New York)	Secondary
207P00000X	Emergency Medicine	047292 (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 Oliver Mayorga allows following entities to bill medicare on his behalf.

Entity Name	Lawrence And Memorial Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142

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 Oliver Mayorga 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 Oliver Mayorga, MD 365 Montauk Ave, Emergency Department, New London, CT 06320-4700 Ph: (860) 442-0711	Dr Oliver Mayorga, MD 365 Montauk Ave, Emergency Department, New London, CT 06320-4700 Ph: (860) 442-0711

Reviews and Comments

Emergency Medicine Doctors in New London, CT

Samuel Maryles, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Michael James Drechsler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Dr. Anthony Noto, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Russell Firman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Siri L Daulaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jayson Podber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Sophia Gee O'donnell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, Emergency Medicine Department, New London, CT 06320 Phone: 860-444-3733

Dr Oliver Mayorga, MD - Medicare Emergency Medicine in New London, CT