Gary Lee Last, MD is a medicare enrolled "Dermatology" physician in Bloomfield, Connecticut. His current practice location is
580 Cottage Grove Rd, Suite 207, Bloomfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 242-8644.
Gary Lee Last is licensed to practice in Connecticut (license number 23605) 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 1629003918.
Physician's Profile
Full Name | Gary Lee Last |
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Gender | Male |
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Speciality | Dermatology |
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Location | 580 Cottage Grove Rd, Bloomfield, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629003918
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3476559964
- Enrollment ID: I20061005000396
Medical Identifiers
Medical identifiers for Gary Lee Last such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629003918 | NPI | - | NPPES |
0100236Q5CT01 | Other | CT | BLUE SHIELD |
0012360581 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 23605 (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. Gary Lee Last 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 |
Gary Lee Last, MD 580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 Ph: (860) 242-8644 | Gary Lee Last, MD 580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 Ph: (860) 242-8644 |
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