Dr Samuel J Laurencin, MD, PHD is a medicare enrolled "General Practice" physician in Waterbury, Connecticut. His current practice location is
500 Chase Pkwy, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 755-6677.
Dr Samuel J Laurencin is licensed to practice in Connecticut (license number 69456) 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 1508253998.
Physician's Profile
| Full Name | Dr Samuel J Laurencin |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 500 Chase Pkwy, Waterbury, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel J Laurencin attended and graduated from in
NPI Data:
- NPI Number: 1508253998
- Provider Enumeration Date: 04/23/2015
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Samuel J Laurencin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508253998 | NPI | - | NPPES |
| 110162087A | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 282565 (Massachusetts) | Secondary |
| 207X00000X | Orthopaedic Surgery | 69456 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | 69456 (Connecticut) | Primary |
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 Samuel J Laurencin 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 Samuel J Laurencin, MD, PHD
500 Chase Pkwy,
Waterbury, CT 06708-3346
Ph: (203) 755-6677 | Dr Samuel J Laurencin, MD, PHD
500 Chase Pkwy,
Waterbury, CT 06708-3346
Ph: (203) 755-6677 |
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