Dr Stephen Robert Smith, MD | |
1 Shaws Cv, New London, CT 06320-4902 | |
(860) 447-8304 | |
(860) 443-8720 |
Full Name | Dr Stephen Robert Smith |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 52 Years |
Location | 1 Shaws Cv, New London, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396862686 | NPI | - | NPPES |
004236346 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5609 (Rhode Island) | Secondary |
207Q00000X | Family Medicine | 017278 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Center Inc | 0547169138 | 113 |
Entity Name | Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Robert Smith, MD 575 Main St Fl 2, Attn: Credentialing Dpt, Middletown, CT 06457-2845 Ph: (860) 347-6971 | Dr Stephen Robert Smith, MD 1 Shaws Cv, New London, CT 06320-4902 Ph: (860) 447-8304 |
Amit Khanna, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Patti Mugo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv Ste 103, New London, CT 06320 Phone: 860-443-3778 | |
Dr. Lakshmi Basu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 931 Bank St., New London, CT 06320 Phone: 860-447-2233 Fax: 860-447-2669 | |
Dr. Fung (adam) Yeung, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Wilton Craig Calderon, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 194 Howard St, New London, CT 06320 Phone: 860-444-3366 | |
Adam Seidner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Montauk Ave, New London, CT 06320 Phone: 860-344-6300 Fax: 860-344-9249 | |
Dr. Margret Rydell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, Suite 103, New London, CT 06320 Phone: 860-443-3788 Fax: 860-443-8820 |