James William Pellegrini, MD | |
365 Montauk Ave, New London, CT 06320-4769 | |
(860) 444-5151 | |
Not Available |
Full Name | James William Pellegrini |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184685331 | NPI | - | NPPES |
3100936 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 70290 (Massachusetts) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 69234 (Connecticut) | Primary |
Entity Name | Pratt Pediatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
Mailing Address | Practice Location Address |
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James William Pellegrini, MD 365 Montauk Ave, New London, CT 06320-4769 Ph: (860) 444-5151 | James William Pellegrini, MD 365 Montauk Ave, New London, CT 06320-4769 Ph: (860) 444-5151 |
Dr. Amr Ahmed Elmeki, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-422-0711 | |
Brett V Citarella, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4740 | |
Dr. Bonnie Suzanne Mackenzie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Owen Ehrlich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Bernard A. Giserman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Ruth M. Lebovitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 |