John Richard Deguardi, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. His current practice location is
20 York St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(518) 698-7975.
John Richard Deguardi is licensed to practice in * (Not Available) (license number ) 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 1053940445.
Physician's Profile
Full Name | John Richard Deguardi |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 20 York St, New Haven, 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: 1053940445
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042633935
- Enrollment ID: I20200710001430
Medical Identifiers
Medical identifiers for John Richard Deguardi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053940445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 32101 (New Hampshire) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. John Richard Deguardi 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 |
John Richard Deguardi, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | John Richard Deguardi, MD 20 York St, New Haven, CT 06510-3220 Ph: (518) 698-7975 |
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