Lauren Marcus Doherty, MD | |
365 Montauk Ave, Room 4.512, New London, CT 06320-4700 | |
(860) 442-0711 | |
(860) 444-5114 |
Full Name | Lauren Marcus Doherty |
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Gender | Female |
Speciality | Hospitalist |
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 |
---|---|---|---|
1306937255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 044617 (Connecticut) | Primary |
Entity Name | Hospital Medicine Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170802002619 |
Entity Name | Connecticut Post Acute Medical Services 1 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558890467 PECOS PAC ID: 5092089755 Enrollment ID: O20170919001161 |
Entity Name | Ma Pacs 2 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265918791 PECOS PAC ID: 4284983628 Enrollment ID: O20200717000540 |
Mailing Address | Practice Location Address |
---|---|
Lauren Marcus Doherty, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 | Lauren Marcus Doherty, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 |
David Jonathan Frederiks, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, Room 4.512, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-5144 |