Thomas Joseph Knightly Jr, MD in Stamford, CT - Medicare Psychiatry & Neurology

Thomas Joseph Knightly Jr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Stamford, Connecticut. His current practice location is 1055 Summer St Ste 2, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 504-9758.

Thomas Joseph Knightly Jr is licensed to practice in Connecticut (license number 71157) 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 1447771282.

Contact Information

	Thomas Joseph Knightly Jr, MD
	1055 Summer St Ste 2, Stamford, CT 06905-5527
	(203) 504-9758
	Not Available

Map and Direction

Physician's Profile

Full Name	Thomas Joseph Knightly Jr
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1055 Summer St Ste 2, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447771282
Provider Enumeration Date: 07/01/2017
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6901176320
Enrollment ID: I20221108002608

Medical Identifiers

Medical identifiers for Thomas Joseph Knightly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447771282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A171719 (California)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	71157 (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. Thomas Joseph Knightly Jr allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Thomas Joseph Knightly Jr 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
Thomas Joseph Knightly Jr, MD 1055 Summer St Ste 2, Stamford, CT 06905-5527 Ph: (203) 504-9758	Thomas Joseph Knightly Jr, MD 1055 Summer St Ste 2, Stamford, CT 06905-5527 Ph: (203) 504-9758

Reviews and Comments

Psychiatry & Neurology Doctors in Stamford, CT

Dr. Derek Cheng, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 29 Hospital Plz Ste 602, Stamford, CT 06902 Phone: 203-276-4464
Dr. Michael Kofi Adusei, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 Phone: 203-276-1000 Fax: 203-276-7081
Dr. Victoria Marie Knightly, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 680 E Main St # 567, Stamford, CT 06901 Phone: 475-219-6707 Fax: 956-508-9773
Dr. Ellyn Sue Shander, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1933 Long Ridge Rd, Stamford, CT 06903 Phone: 203-595-9205 Fax: 203-329-8011
Shanicka Reynolds, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 22 5th St, Stamford, CT 06905 Phone: 203-323-8160
William Hampton, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Dock St Ste 309, Stamford, CT 06902 Phone: 203-919-4649
Dr. Elisa M Rambo, M. D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 680 E Main St # 599, Stamford, CT 06901 Phone: 480-347-2570 Fax: 480-865-2329

Thomas Joseph Knightly Jr, MD - Medicare Psychiatry & Neurology in Stamford, CT