George Bacall, MD | |
170 Hazard Ave, Enfield, CT 06082 | |
(860) 763-4001 | |
(860) 749-5592 |
Full Name | George Bacall |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 170 Hazard Ave, Enfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164519823 | NPI | - | NPPES |
001178961 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 017896 (Connecticut) | Primary |
Entity Name | Trinity Health Of New England Provider Network Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
Mailing Address | Practice Location Address |
---|---|
George Bacall, MD 170 Hazard Ave, Enfield, CT 06082 Ph: (860) 763-4001 | George Bacall, MD 170 Hazard Ave, Enfield, CT 06082 Ph: (860) 763-4001 |
Virginia Susan Ferlan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-763-4001 Fax: 860-749-5592 | |
Dr. Emma La Perla, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 170 Hazard Ave Ste 2, Enfield, CT 06082 Phone: 860-763-4001 Fax: 860-749-5592 | |
Dr. Michael F. Morosky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9 Cranbrook Blvd, 2nd Floor, Enfield, CT 06082 Phone: 860-253-5330 Fax: 860-253-5331 | |
Dr. Thomas Baird Fitzgerald, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-763-4001 | |
Smita Bhagat, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 139 Hazard Ave, Bldg 3 Unit 10, Enfield, CT 06082 Phone: 860-763-4337 | |
Carla Desantis, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-763-4001 Fax: 860-749-5592 |